Child Neurology - Washington

NPI #1508128661 in Chesterfield, Missouri

Provider Information

NPI Number: 1508128661
Entity Type: Organization
Organization Name: Child Neurology - Washington
Primary Specialty: Pediatrics
Enumeration Date: Jun 13, 2012
Last Updated: Mar 17, 2017

Practice Location

Address: 13001 NORTH OUTER 40 RD
Address 2: SUITE 1A
City: Chesterfield
State: Missouri
ZIP Code: 63017-5941
Phone: (314) 454-6363

Authorized Official

Name: MS. CATHY EGHIGIAN
Title: DIRECTOR, CREDENTIALING OPERATIONS
Phone: (314) 273-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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