St Louis University
St Louis University provides Pediatric Neurodevelopmental Disabilities Physician services in Saint Louis, Missouri. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1465 S Grand BlvdSaint Louis, MO 63104-1003
Phone: (314) 577-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Neurodevelopmental Disabilities Physician (primary) | Taxonomy 2080P0008X |
|---|
Record details
| NPI number | 1962614750 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alyce Lanxon — Executive Director · (314) 977-6828 |
| Other names | Slucare Dept Of Pediatric Neurodevelopmental Disabilities; Slucare Dept Of Pediatric Neurodevelopmental Disabilities |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | September 21, 2021 |
| Certification date | September 21, 2021 |
| Mailing address | 3545 Lindell Blvd Fl 3, Saint Louis, MO 63103-1020 |
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