SLUCare Department of Pediatric Surgery – Pediatric Surgery Physician, NPI 1114990454
Pediatric Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SLUCare Department of Pediatric Surgery
650, Chestnut Street, Downtown, City of Saint Louis, Missouri, 63101, United States
SAINT LOUIS, MO 631032236
Phone: (314) 977-6828
Type: Mailing
SSM Health Cardinal Glennon Children’s Hospital, 1465, South Grand Boulevard, Tiffany, City of Saint Louis, Missouri, 63104, United States
SAINT LOUIS, MO 631041003
Phone: (314) 977-6828
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63103)
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