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Organization
ST LOUIS UNIVERSITY
Active
Organization
ST LOUIS UNIVERSITY
Active
Other names
SLUCare Dept of Pediatric Hospitalist
Organization subpart
No
Provider details
NPI number
Authorized official
ALYCE LANXON (EXECUTIVE DIRECTOR)
(314) 977-6828
Entity
Organization
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-4101
(314) 577-5379
Mailing address
3545 LINDELL BLVD FL 3, SAINT LOUIS, MO 63103-1020
(314) 977-6828
(314) 977-6872
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
09/21/2021
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