| NPI | 1972532620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY DUNGER Executive Director Finance 314-364-3707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2025-04-25 |