| NPI | 1811074651 |
|---|---|
| Doing Business As | CARDINAL GLENNON PEDIATRIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | LYNN L BOGGS EVP/COO 314-768-8032 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 167-1) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-11-15 |