Organization · Type 2 NPI

Wuca-Fenton Pediatrics, LLC

Multi-Specialty Clinic/Center · Fenton, MO

NPI number 1760953095 Active

Practice location

714 Gravois Rd Ste 200
Fenton, MO 63026-7723

Call (636) 349-5437 Map

Fax (636) 349-6663

Mailing address

PO Box 7412053
Chicago, IL 60674-2011

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

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NPI record

NPI: 1760953095
Entity type: Organization (Type 2)
Issued: Dec 16, 2018
Last updated: Apr 29, 2025
Status: Active

Other names

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Wuca - Fenton Pediatrics, LLC · other name
Wuca - Fenton Pediatrics, LLC · other name

Authorized official

Cathy Eghigian
Senior Director Wu Managed Care
(314) 273-0770

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About NPI 1760953095

Wuca-Fenton Pediatrics, LLC's National Provider Identifier is 1760953095, issued on Dec 16, 2018. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fenton, MO. The record was last updated on Apr 29, 2025.