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Organization

MERCY CLINIC CHILDREN'S UROLOGY LLC

Active
Parent organization
MERCY MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY MEDICAL GROUP
Authorized official
KERRY DUNGER (EXECUTIVE DIRECTOR - FINANCE)
(314) 364-3707
Entity
Organization

Contact information

Practice address
621 S NEW BALLAS RD, SUITE 537-A, SAINT LOUIS, MO 63141-8232
(314) 251-6990
(314) 251-6998
Mailing address
621 S NEW BALLAS RD, SUITE 537-A, SAINT LOUIS, MO 63141-8232
(314) 251-6990
(314) 251-6998

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary

Other

Enumeration date
04/25/2011
Last updated
04/28/2025
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