Organization · Type 2 NPI

Mercy Clinic Child Neurology, LLC

Neurology with Special Qualifications in Child Neurology Physician · St. Louis, MO

NPI number 1285930206 Active

Practice location

621 S New Ballas Rd, Suite 5009-B
St. Louis, MO 63141-8232

Fax (314) 251-5867

Specialties and licenses

Taxonomy	Code	License
Neurology with Special Qualifications in Child Neurology Physician Primary	2084N0402X	None listed

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

344 other providers at this address

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ST Louis UniversityNeurology with Special Qualifications in Child Neurology Physician St. Louis, MO NPI 1609088590

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NPI record

NPI: 1285930206
Entity type: Organization (Type 2)
Issued: Feb 9, 2011
Last updated: Apr 25, 2025
Status: Active
Subpart: Yes of Mercy Clinic East Communities

Other names

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Mercy Child Neurology · 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 1285930206

Mercy Clinic Child Neurology, LLC's National Provider Identifier is 1285930206, issued on Feb 9, 2011. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in St. Louis, MO. The record was last updated on Apr 25, 2025.