| NPI | 1033352885 |
|---|---|
| Former Legal Business Name | ST. JOHN'S MERCY KIDS GI, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN W. HUBERT President 314-215-1700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-11-19 |