Organization · Type 2 NPI

ST Louis University

Pediatric Gastroenterology Physician · St. Louis, MO

NPI number 1508085382 Active

Practice location

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

Call (314) 577-5647 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pediatric Gastroenterology Physician Primary	2080P0206X	None listed

Pediatric Gastroenterology Physician: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

572 other providers at this address

Other pediatric gastroenterology physician providers in St. Louis

Mercy Clinic Kids Gi, LLCPediatric Gastroenterology Physician St. Louis, MO NPI 1033352885

See all in St. Louis →

NPI record

NPI: 1508085382
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 Gastroenterology · doing business as
Slucare Dept of Pediatric Gastroenterology · 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 1508085382

ST Louis University's National Provider Identifier is 1508085382, issued on Apr 24, 2007. The primary taxonomy on file is Pediatric Gastroenterology Physician (2080P0206X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.