Individual
SUSAN DERAMO PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
969 N MASON RD, SUITE 235, SAINT LOUIS, MO 63141-6338
(314) 469-3333
(314) 469-3327
Mailing address
969 N MASON RD, SUITE 235, SAINT LOUIS, MO 63141-6338
(314) 469-3333
(314) 469-3327
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2008007453
MO
Other
Enumeration date
01/25/2007
Last updated
04/14/2008
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