IDEAL PEDIATRIC WELLNESS, LLC

SAINT LOUIS, MO
NPI1710492228
Entity TypeOrganization
Authorized ContactJOSPEH CANGAS
Member
314-270-9355
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2017-12-06
Last Update Date2017-12-06
Business Address
IDEAL PEDIATRIC WELLNESS, LLC
10007 KENNERLY RD STE C
SAINT LOUIS, MO 63128-2179
Phone number: 314-270-9355
Mailing Address
IDEAL PEDIATRIC WELLNESS, LLC
9788 GERALD DR
SAINT LOUIS, MO 63128-1708
Phone number: