Organization · Type 2 NPI
Affton Medical Clinic
Pediatric Adolescent Medicine Physician · St. Louis, MO
NPI number
1114048154
Active
Practice location
59 Grasso Plz
St. Louis, MO 63123-3107
Fax (314) 638-9333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | R5P40 (MO) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Other pediatric adolescent medicine physician providers in St. Louis
About NPI 1114048154
Affton Medical Clinic's National Provider Identifier is 1114048154, issued on Apr 3, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 16, 2008.