NPI | 1033352885 |
---|---|
Former Legal Business Name | ST. JOHN'S MERCY KIDS GI, LLC |
Entity Type | Organization |
Authorized Contact | KERRY DUNGER Executive Director Finance 314-364-3707 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
Enumeration Date | 2009-04-09 |
Last Update Date | 2025-04-25 |