Organization · Type 2 NPI

Mercy Clinic Kids Plastic Surgery, LLC

Plastic and Reconstructive Surgery Physician · St. Louis, MO

NPI number 1942330477 Active

Practice location

621 S New Ballas Rd, Suite 260-A
St. Louis, MO 63141-8232

Fax (314) 251-5772

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1942330477

Mercy Clinic Kids Plastic Surgery, LLC's National Provider Identifier is 1942330477, issued on Mar 6, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in St. Louis, MO. The record was last updated on Apr 25, 2025.