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Organization
PEDIATRIX MEDICAL GROUP OF MISSOURI, P.C.
Active
Organization
PEDIATRIX MEDICAL GROUP OF MISSOURI, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ASHFORD (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(877) 737-4546
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(844) 686-2961
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
11/12/2024
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