St Louis University
NPI #1114990454 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1114990454
- Entity Type
- Organization
- Organization Name
- St Louis University
- Primary Specialty
- Surgery - Pediatric Surgery
- Enumeration Date
- Feb 8, 2006
- Last Updated
- Jun 21, 2019
Practice Location
- Address
- 1465 S GRAND BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63104-1003
- Phone
- (314) 977-6828
Authorized Official
- Name
- MRS. ALYCE LANXON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (314) 977-6828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Pediatric Surgery — Pediatric Surgery |
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