Eureka Pediatrics

NPI #1578758470 in Eureka, Missouri

Provider Information

NPI Number: 1578758470
Entity Type: Organization
Organization Name: Eureka Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Sep 13, 2007
Last Updated: Sep 13, 2007

Practice Location

Address: 515 N VIRGINIA AVE
City: Eureka
State: Missouri
ZIP Code: 63025-1115
Phone: (636) 587-3000

Authorized Official

Name: MR. TED ALLEN GREEN, M.D.
Title: OWNER
Phone: (636) 587-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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