Winghaven Pediatrics Llc

NPI 1568596922 - Pediatrics - 208000000X

NPI Details
NPI 1568596922
Enumeration Date 03/15/2007
Last Updated 04/22/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HOLLY HOLLY
Position OFFICE MANAGER
Phone (636) 561-5561
Fax (636) 561-5557
Practice Location
5551 WINGHAVEN BLVD
O FALLON MO, 63368-3617, US
Phone (636) 561-5561
Fax (636) 561-5557
Business Location
5551 WINGHAVEN BLVD
SUITE 240
O'FALLON MO, 63368, US
Phone (636) 561-5561
Fax (636) 561-5557
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1568596922 NPI Number
 

According to our database, Winghaven Pediatrics Llc NPI is 1568596922, taxonomy code is 208000000X Winghaven Pediatrics Llc physically located at 5551 Winghaven Blvd, O Fallon MO, 63368-3617. NPI Number 1033115704 has the healthcare provider type.

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1568596922 NPI number is provided on an as is basis without warranty of any kind. 1568596922 is maintained by the National Plan & Provider Enumeration System. The contents of Winghaven Pediatrics Llc are for informational purposes only.