Edgemont Pediatrics, P.c
NPI #1689825838 in East Saint Louis, Illinois
Provider Information
- NPI Number
- 1689825838
- Entity Type
- Organization
- Organization Name
- Edgemont Pediatrics, P.c
- Primary Specialty
- Pediatrics
- Enumeration Date
- Oct 7, 2008
- Last Updated
- Oct 7, 2008
Practice Location
- Address
- 8710 STATE ST
- City
- East Saint Louis
- State
- Illinois
- ZIP Code
- 62203-2048
- Phone
- (618) 398-6601
Authorized Official
- Name
- DR. JUSTIN O OGBEVOEN, M.D
- Title
- CEO
- Phone
- (618) 398-6601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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