NPI | 1487857033 |
---|---|
Doing Business As | KIDZ BIZ PEDIATRICS |
Entity Type | Organization |
Authorized Contact | JOSHUA PAUL BOLDT Physician/Partner 636-933-4141 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
Enumeration Date | 2007-06-08 |
Last Update Date | 2014-02-07 |