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
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