Organization · Type 2 NPI

ST Louis University

Pediatric Hematology & Oncology Physician · St. Louis, MO

NPI number 1093934770 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Call (314) 577-5638 Map

Mailing address

3545 Lindell Blvd Fl 3
St. Louis, MO 63103-1020

Specialties and licenses

Taxonomy	Code	License
Pediatric Hematology & Oncology Physician Primary	2080P0207X	None listed

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

572 other providers at this address

NPI record

NPI: 1093934770
Entity type: Organization (Type 2)
Issued: Apr 24, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Dept of Pediatric Hematology Oncology · doing business as
Slucare Dept of Pediatric Hematology Oncology · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

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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 1093934770

ST Louis University's National Provider Identifier is 1093934770, issued on Apr 24, 2007. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.