HAMPTON VILLAGE PEDIATRICS LLC NPI 1578711420

NPI Information

HAMPTON VILLAGE PEDIATRICS, LLC is a primary care clinic center in Saint Louis, MO. HAMPTON VILLAGE PEDIATRICS, LLC NPI is 1578711420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16 HAMPTON VILLAGE PLZ 220
SAINT LOUIS, MO
ZIP 63109-128
Phone: (314) 351-2004
Fax: (314) 351-0347

The provider's authorized official is Melissa A. Whitson .
The authorized official title is Pediatrician/owner and has the following contact phone number (314) 351-2004.

The CLIA number assigned to this NPI record is 26D1088150 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2008 and was last updated on 10/19/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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