MERCY CLINIC CHILDREN'S CANCER & HEMATOLOGY LLC NPI 1407066343

NPI Information

MERCY CLINIC CHILDREN'S CANCER & HEMATOLOGY LLC is a pediatric hematology-oncology pediatrics in Creve Coeur, MO. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. MERCY CLINIC CHILDREN'S CANCER & HEMATOLOGY LLC NPI is 1407066343. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

607 S NEW BALLAS RD
SUITE 2415
CREVE COEUR, MO
ZIP 63141-219
Phone: (314) 251-6986
Fax: (314) 251-5712

The provider's authorized official is John W Hubert .
The authorized official title is President and has the following contact phone number (314) 251-1700.

The CLIA number assigned to this NPI record is 26D2283675 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 4/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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