| NPI | 1114990454 |
|---|---|
| Doing Business As | SLUCARE DEPARTMENT OF PEDIATRIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | ALYCE LANXON Executive Director 314-977-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-06-21 |