Ssm Cardinal Glennon Childrens Hospital

NPI 1174577670 - Radiology - 2085B0100X

NPI Details
NPI 1174577670
Enumeration Date 05/19/2006
Last Updated 12/22/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHARON R. SHARON
Position EVP/COO
Phone (314) 577-5600
Fax (314) 268-6468
Practice Location
1465 S GRAND BLVD
SAINT LOUIS MO, 63104-1003, US
Phone (314) 577-5600
Fax (314) 268-6468
Business Location
1836 LACKLAND HILL PKWY
ATTNT: CREDENTIALING DEPT.
SAINT LOUIS MO, 63146-3572, US
Phone (314) 989-0300
Fax (314) 810-1399
Toxanomy
Taxonomy Code 2085B0100X
License State
License Number
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According to our database, Ssm Cardinal Glennon Childrens Hospital NPI is 1174577670, taxonomy code is 2085B0100X Ssm Cardinal Glennon Childrens Hospital physically located at 1465 S Grand Blvd, Saint Louis MO, 63104-1003. NPI Number 1033115704 has the healthcare provider type.

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1174577670 NPI number is provided on an as is basis without warranty of any kind. 1174577670 is maintained by the National Plan & Provider Enumeration System. The contents of Ssm Cardinal Glennon Childrens Hospital are for informational purposes only.