Organization
PEDIATRIX MEDICAL GROUP OF MISSOURI, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ASHFORD (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(877) 737-4546
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(844) 686-2961
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
11/12/2024
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