Organization
BRENTWOOD PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN BIRMINGHAM MD (OWNER PHYSICIAN)
(314) 918-8827
Entity
Organization
Contact information
Practice address
1600 S BRENTWOOD BLVD STE 100, SAINT LOUIS, MO 63144-1301
(314) 918-8827
(314) 918-9391
Mailing address
1600 S BRENTWOOD BLVD STE 100, SAINT LOUIS, MO 63144-1301
(314) 918-8827
(314) 918-9391
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R1P89
MO
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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