LAURA ALEXANDRIA UPTON
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1093392847- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1225 S GRAND BLVD, SAINT LOUIS, MO, 631041016
- Phone
- (314) 977-6100
Specialties & Taxonomies
Internal Medicine
License: MO #TBD
Dermatology
Primary License: MO #TBD