| NPI | 1760953095 |
|---|---|
| Other Name | WUCA - FENTON PEDIATRICS, LLC |
| Entity Type | Organization |
| Authorized Contact | CATHY EGHIGIAN Director, Credentialing Operations 314-273-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-10-02 |