# VAX CONCIERGE MO PC

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

## Provider details

- **NPI number:** 1639014541
- **Authorized official:** JUDAH KANOWITZ (OWNER)
- **Authorized official phone:** (773) 260-0964

## Contact information

- **Practice address:** 8150 AMHERST AVE, UNIVERSITY CITY, MO 63130-3605
- **Practice address phone:** (773) 260-0964
- **Mailing address:** 8150 AMHERST AVE, UNIVERSITY CITY, MO 63130-3605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2026
- **Last updated:** 04/20/2026