Organization · Type 2 NPI
Mercy Clinic Children's Surgery, LLC
Pediatric Surgery Physician · St. Louis, MO
NPI number
1649349804
Active
Practice location
621 S. New Ballas Road, Suite 6018-B
St. Louis, MO 63141-8274
Fax (314) 251-5813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Surgery Physician Primary | 2086S0120X | None listed |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
5 other providers at this address
- Mercy Clinic Burn and Plastic Surgery, LLCPlastic and Reconstructive Surgery Physician St. Louis, MO NPI 1912037433
- Nicole Shuert, NPWomen's Health Nurse Practitioner St. Louis, MO NPI 1942532445
- Ronald E. Haake, DOCritical Care Medicine (Internal Medicine) Physician St. Louis, MO NPI 1386739548
- Samuel Marquez, MDSurgery Physician St. Louis, MO NPI 1750380846
- Theodore G. Sample Jr., MDPediatrics Physician St. Louis, MO NPI 1922191584
Other pediatric surgery physician providers in St. Louis
About NPI 1649349804
Mercy Clinic Children's Surgery, LLC's National Provider Identifier is 1649349804, issued on Nov 6, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in St. Louis, MO. The record was last updated on Apr 25, 2025.