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WESTBURY PEDIATRICS LTD. NPI 1962619502


NPI Information

NPI: 1962619502
Provider Name: WESTBURY PEDIATRICS LTD.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
2954 HIGHWAY K
O FALLON, MO
ZIP 63368
Phone: (636) 978-1772
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WESTBURY PEDIATRICS LTD. is an adolescent medicine pediatrics in O Fallon, MO. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. WESTBURY PEDIATRICS LTD. NPI is 1962619502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2954 HIGHWAY K
O FALLON, MO
ZIP 63368-861
Phone: (636) 978-1772
Fax: (636) 978-2589

The provider's authorized official is Mary Joyce Keefe .
The authorized official title is Practice Manager and has the following contact phone number (636) 978-1772.

The enumeration date for this NPI number is 5/16/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine105226MISSOURIYes

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: 5/5/2024

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