Eden Pediatrics LLC
NPI #1659477024 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1659477024
- Entity Type
- Organization
- Organization Name
- Eden Pediatrics LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 763 S NEW BALLAS RD
- Address 2
- SUITE 220
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63141-8704
- Phone
- (314) 983-0606
Authorized Official
- Name
- DR. ETIHAD SHAKIR AL-FALAHI, M.D
- Title
- PRESIDENT
- Phone
- (314) 983-0606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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