# AFFTON MEDICAL CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114048154
- **Authorized official:** DR. RUBILINDA GIMENA CASINO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (314) 638-9309

## Contact information

- **Practice address:** 59 GRASSO PLZ, SAINT LOUIS, MO 63123-3107
- **Practice address phone:** (314) 638-9309
- **Practice address fax:** (314) 638-9333
- **Mailing address:** 59 GRASSO PLZ, SAINT LOUIS, MO 63123-3107
- **Mailing address phone:** (314) 638-9309
- **Mailing address fax:** (314) 638-9333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | R5P40 | MO | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 06/16/2008