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Organization

MERCY CLINIC CHILDREN'S INFECTIOUS DISEASE, LLC

Active
Parent organization
MERCY CLINIC EAST COMMUNITIES
Other names
Mercy Pediatric ID Specialists
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY CLINIC EAST COMMUNITIES
Authorized official
JOHN W. HUBERT M.D. (PRESIDENT)
(314) 251-1700
Entity
Organization

Contact information

Practice address
621 S NEW BALLAS RD, SUITE 674-A, SAINT LOUIS, MO 63141-8232
(314) 251-6831
(314) 251-5430
Mailing address
621 S NEW BALLAS RD, SUITE 674-A, SAINT LOUIS, MO 63141-8232
(314) 251-6831
(314) 251-5430

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary

Other

Enumeration date
09/13/2010
Last updated
05/05/2014
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