Individual
DR. TOBY A ROCKEFELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, STE C, SAINT LOUIS, MO 63110-1002
(314) 454-6095
(314) 454-2561
Mailing address
1 CHILDRENS PL, NWT 1230, SAINT LOUIS, MO 63110-1002
(314) 454-6095
(314) 454-2561
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012026129
MO
2080P0202X
Pediatric Cardiology Physician
Primary
2012026129
MO
2086S0120X
Pediatric Surgery Physician
2012026129
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
07/23/2009
Last updated
03/27/2018
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