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St Charles County Dermatologic Surgery, LLC

Procedural Dermatology Physician in Cottleville, MO · enumerated 2020 · authorized official Stacey Tull, Physician and Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235761438

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Registry record

Entity type Organization (Type 2)
Legal business name St Charles County Dermatologic Surgery, LLC
Practice address 1493 Cottleville Pkwy, Cottleville, MO, 63376
Phone (636) 317-3376
Fax (636) 244-1197
Enumeration date Feb 6, 2020
Last updated in NPPES Feb 6, 2020

Taxonomy & classification

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Stacey Tull
Title Physician and Owner
Phone (636) 327-3376

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for St Charles County Dermatologic Surgery, LLC?
The NPI for St Charles County Dermatologic Surgery, LLC is 1235761438, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for St Charles County Dermatologic Surgery, LLC?
NPPES lists Stacey Tull (Physician and Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-06.