Unknown Individual – Pediatrics Physician, NPI 1386635571
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 23340
SAINT LOUIS, MO 631563340
Phone: (314) 838-7912
Fax: (314) 921-6283
Type: Mailing
Northwest HealthCare, 1225, Graham Road, Florissant, Saint Louis County, Missouri, 63031, United States
SUITE C-1350
FLORISSANT, MO 630318012
Phone: (314) 838-7912
Fax: (314) 921-6283
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63156)
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