Organization · Type 2 NPI

Mercy Clinic Neurology, LLC

Neurology Physician · St. Louis, MO

NPI number 1053479188 Active

Practice location

621 S New Ballas Rd, Suite 6005-B
St. Louis, MO 63141-8232

Fax (314) 251-6634

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

344 other providers at this address

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NPI record

NPI: 1053479188
Entity type: Organization (Type 2)
Issued: Dec 4, 2006
Last updated: Apr 28, 2025
Status: Active
Subpart: Yes of Mercy Clinic East Communities

Other names

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Mercy Neurology, LLC · former legal business name

Authorized official

Kerry Dunger
Executive Director - Finance
(314) 364-3707

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053479188

Mercy Clinic Neurology, LLC's National Provider Identifier is 1053479188, issued on Dec 4, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in St. Louis, MO. The record was last updated on Apr 28, 2025.