Organization
COMPREHENSIVE EPILEPSY CARE CENTER FOR CHILDREN AND ADULTS, P.C.
Active
Organization
COMPREHENSIVE EPILEPSY CARE CENTER FOR CHILDREN AND ADULTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E ROSENFELD M.D. (DIRECTOR)
(314) 453-9300
Entity
Organization
Contact information
Practice address
3009 NORTH BALLAS ROAD, SUITE 129A, ST. LOUIS, MO 63131-2381
(314) 453-9300
(314) 453-0163
Mailing address
3009 N BALLAS RD, SUITE 129 A, SAINT LOUIS, MO 63131-2322
(314) 453-9300
(314) 453-0163
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R9G50
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507640605
—
MO
Enumeration date
11/13/2006
Last updated
01/28/2015
Update your record
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