Saint Louis University DBA Mark Herbers, M.d.

NPI #1629295712 in Fenton, Missouri

Provider Information

NPI Number: 1629295712
Entity Type: Organization
Organization Name: Saint Louis University DBA Mark Herbers, M.d.
Primary Specialty: Pediatrics
Enumeration Date: Apr 19, 2007
Last Updated: Sep 24, 2007

Practice Location

Address: 1747 SMIZER STATION RD
Address 2: SUITE 6
City: Fenton
State: Missouri
ZIP Code: 63026-2784
Phone: (636) 225-7908

Authorized Official

Name: MRS. DEBORAH B. REICHARDT
Title: OFFICE MANAGER
Phone: (636) 225-7908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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