Deluxe Dermatology LLC

Dermatology Physician · Saint Louis, MO

Organization Active NPI

NPI number 1922605906

Practice location

1034 S Brentwood Blvd Ste 1000
Saint Louis, MO 63117-1210
Phone
(314) 781-0794

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NPI record

NPI
1922605906
Entity type
Organization (Type 2)
Enumeration date
October 3, 2020
Last updated
October 3, 2020
Certified
October 3, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatology Physician Primary 207N00000X — —

Authorized official

Name
Dr. Duane Ardie Dilworth Jr., MD
Title
Physician
Phone
(314) 781-0794

Other practice locations (1)

  • 11125 Dunn Rd Ste 411, Saint Louis, MO 63136-6132 · (314) 355-7111

About Deluxe Dermatology LLC

Deluxe Dermatology LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117-1210. The NPI number 1922605906 was assigned on October 3, 2020 and the record was last updated on October 3, 2020.

The authorized official for this organization is Dr. Duane Ardie Dilworth Jr., MD, Physician.

Frequently asked questions

What is the NPI number of Deluxe Dermatology LLC?

The NPI number is 1922605906.

What is the phone number of Deluxe Dermatology LLC?

The phone number listed for the practice location is (314) 781-0794.

Where is Deluxe Dermatology LLC located?

1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117-1210.

What is the taxonomy code for Deluxe Dermatology LLC?

The primary taxonomy code is 207N00000X – Dermatology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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