# ST. JOHN'S PEDIATRIC SERVICES

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

## Provider details

- **NPI number:** 1679876734
- **Authorized official:** DR. JOESPH KAHN MD (DEPARTMENT CHAIRMAN/SUPERVISOR)
- **Authorized official phone:** (314) 251-6299

## Contact information

- **Practice address:** 621 S NEW BALLAS RD, \# 2003B, SAINT LOUIS, MO 63141-8232
- **Practice address phone:** (314) 251-6299
- **Mailing address:** 621 S NEW BALLAS RD, \# 2003B,, SAINT LOUIS, MO 63141-8232
- **Mailing address phone:** (314) 251-6299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | 2010034857 | MO | Yes |

## Other

- **Enumeration date:** 12/13/2010
- **Last updated:** 12/13/2010