Ideal Pediatric Wellness, LLC
NPI #1710492228 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1710492228
- Entity Type
- Organization
- Organization Name
- Ideal Pediatric Wellness, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Dec 6, 2017
- Last Updated
- Dec 6, 2017
Practice Location
- Address
- 10007 KENNERLY RD STE C
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63128-2179
- Phone
- (314) 270-9355
Authorized Official
- Name
- DR. JOSPEH CANGAS, MD
- Title
- MEMBER
- Phone
- (314) 270-9355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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