Organization · Type 2 NPI

SSM Cardinal Glennon Children's Hospital

Ambulatory Surgical Clinic/Center · St. Louis, MO

NPI number 1811074651 Active

Practice location

12700 Southfork Rd
St. Louis, MO 63128-3201

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X167-1 (MO)

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

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About NPI 1811074651

SSM Cardinal Glennon Children's Hospital's National Provider Identifier is 1811074651, issued on Nov 1, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in St. Louis, MO. The record was last updated on Nov 15, 2011.