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Organization
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
Active
Organization
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
Active
Other names
Cardinal Glennon Pediatric Surgery Center at Medical Park
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON DUDLEY (EVP/COO)
(314) 768-8032
Entity
Organization
Contact information
Practice address
1475 KISKER RD, SUITE 120, SAINT CHARLES, MO 63304-8781
(636) 498-7878
(636) 498-7420
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MO
Other
Enumeration date
04/01/2008
Last updated
12/22/2008
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