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CHILDREN'S GASTROENTEROLOGY OF ST. LOUIS P.C. NPI 1679699060


NPI Information

NPI: 1679699060
Provider Name: CHILDREN'S GASTROENTEROLOGY OF ST. LOUIS, P.C.
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
224 S WOODS MILL RD STE 640
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 576-2080
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CHILDREN'S GASTROENTEROLOGY OF ST. LOUIS, P.C. is a pediatric gastroenterology pediatrics in Chesterfield, 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. CHILDREN'S GASTROENTEROLOGY OF ST. LOUIS, P.C. NPI is 1679699060. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

224 S WOODS MILL RD STE 640
CHESTERFIELD, MO
ZIP 63017-451
Phone: (314) 576-2080
Fax: (314) 576-0028

The provider's authorized official is Jerry L Rosenblum .
The authorized official title is President and has the following contact phone number (314) 576-2080.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0206XPediatricsPediatric GastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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