| NPI | 1578711420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A. WHITSON Pediatrician/Owner 314-351-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 2008015366) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008015366) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2020-10-19 |