| NPI | 1942949482 |
|---|---|
| Other Name | WUCA - SUBURBAN PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CATHY EGHIGIAN Sr. Director, Managed Care 618-791-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-12-07 |