Organization · Type 2 NPI

ST Louis University

Pediatrics Physician · St. Louis, MO

NPI number 1467425702 Active

Practice location

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

Call (314) 977-6828 Map

Fax (314) 577-5379

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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NPI record

NPI: 1467425702
Entity type: Organization (Type 2)
Issued: Feb 8, 2006
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Department of Pediatrics · doing business as
Slucare Department of Pediatrics · doing business as

Authorized official

Mrs. 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 1467425702

ST Louis University's National Provider Identifier is 1467425702, issued on Feb 8, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.