Organization · Type 2 NPI

SSM Cardinal Glennon Children's Hospital

Ambulatory Surgical Clinic/Center · St. Charles, MO

NPI number 1669644456 Active

Practice location

1475 Kisker Rd, Suite 120
St. Charles, MO 63304-8781

Fax (636) 498-7420

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1669644456

SSM Cardinal Glennon Children's Hospital's National Provider Identifier is 1669644456, issued on Apr 1, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in St. Charles, MO. The record was last updated on Dec 22, 2008.