Organization · Type 2 NPI

ST Louis University

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

NPI number 1609088590 Active

Practice location

3660 Vista Ave
St. Louis, MO 63110-2540

Call (314) 577-5338 Map

Mailing address

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

Other practice locations

1438 S Grand Blvd, St. Louis, MO 63104-1027 · (314) 977-6082
1225 South Grand, 1L Door 3,4, St. Louis, MO 63104-6310 · (314) 257-3390

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.

57 other providers at this address

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NPI record

NPI: 1609088590
Entity type: Organization (Type 2)
Issued: May 4, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Dept of Neurology-Child · doing business as
Slucare Dept of Neurology-Child · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

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About NPI 1609088590

ST Louis University's National Provider Identifier is 1609088590, issued on May 4, 2007. 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 Sep 21, 2021.