Organization · Type 2 NPI
Comprehensive Epilepsy Care Center for Children and Adults, P.c.
Specialist · St. Louis, MO
NPI number
1093886749
Active
Practice location
3009 North Ballas Road, Suite 129A
St. Louis, MO 63131-2381
Fax (314) 453-0163
Mailing address
3009 N Ballas Rd, Suite 129 A
St. Louis, MO 63131-2322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | R9G50 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
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About NPI 1093886749
Comprehensive Epilepsy Care Center for Children and Adults, P.c.'s National Provider Identifier is 1093886749, issued on Nov 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 28, 2015.