Organization
TOWN & COUNTRY DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MACKENZIE MACARTHUR (OWNER/PHYSICIAN)
(888) 785-3376
Entity
Organization
Contact information
Practice address
555 N NEW BALLAS RD STE 160, CREVE COEUR, MO 63141-6825
(888) 785-3376
(866) 326-6671
Mailing address
21 WESTWOOD COUNTRY CLB, SAINT LOUIS, MO 63131-2411
(888) 785-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
06/18/2024
Last updated
12/18/2024
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