| NPI | 1356412308 |
|---|---|
| Doing Business As | SSM HEALTH CARDINAL GLENNON PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | TIM BULLER Regional CFO Financial Strategy 314-989-2173 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-07-19 |