NPI: 1033352885
Provider Name: MERCY CLINIC KIDS GI, LLC
Former Legal Business Name: ST. JOHN'S MERCY KIDS GI, LLC
Classification: Pediatrics - 2080P0206X
Entity Type: Organization
Specialization: Pediatric Gastroenterology
CLIA Number: 26D0930423
Address:
621 S NEW BALLAS RD
SUITE 140-A
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 996-0006
Get Directions
MERCY CLINIC KIDS GI, LLC is a pediatric gastroenterology pediatrics in Saint Louis, MO. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. MERCY CLINIC KIDS GI, LLC NPI is 1033352885. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is St. John's Mercy Kids Gi, Llc.
The provider's business location address is:
621 S NEW BALLAS RD
SUITE 140-A
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 996-0006
Fax: (314) 996-0007
The provider's authorized official is John W. Hubert .
The authorized official title is President and has the following contact phone number (314) 215-1700.
The CLIA number assigned to this NPI record is 26D0930423 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/9/2009 and was last updated on 11/19/2018.