| NPI | 1083832364 |
|---|---|
| Doing Business As | SLUCARE DEPT OF OTOLARYNGOLOGY-PEDIATRIC |
| Entity Type | Organization |
| Authorized Contact | ALYCE LANXON Executive Director 314-977-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-09-21 |