Organization
MERCY CLINIC KIDS GI, LLC
Active
Parent organization
MERCY CLINIC EAST COMMUNITIES
Other names
St. John's Mercy Kids GI, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CLINIC EAST COMMUNITIES
Authorized official
KERRY DUNGER (EXECUTIVE DIRECTOR - FINANCE)
(314) 364-3707
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 140-A, SAINT LOUIS, MO 63141-8232
(314) 996-0006
(314) 996-0007
Mailing address
621 S NEW BALLAS RD STE Y-G230, SAINT LOUIS, MO 63141-8232
(314) 251-5550
(314) 251-5552
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509292504
—
MO
Enumeration date
04/09/2009
Last updated
04/25/2025
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