| NPI | 1770866709 |
|---|---|
| Doing Business As | SLUCARE DEPT OF PEDIATRIC ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | ALYCE LANXON Executive Director 314-977-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2021-09-21 |