| NPI | 1336209329 |
|---|---|
| Doing Business As | HEARTLAND PEDIATRICS |
| Doing Business As | DALE AVENUE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KRISTIN E STAHL Billing Manager 314-833-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036100294) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2021-12-06 |