Organization
HAMPTON VILLAGE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA A. WHITSON D.O. (PEDIATRICIAN/OWNER)
(314) 351-2004
Entity
Organization
Contact information
Practice address
16 HAMPTON VILLAGE PLZ 220, SAINT LOUIS, MO 63109-2128
(314) 351-2004
(314) 351-0347
Mailing address
16 HAMPTON VILLAGE PLZ STE 220, SAINT LOUIS, MO 63109-2128
(314) 351-2004
(314) 351-0347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2008015366
MO
261QP2300X
Primary Care Clinic/Center
Primary
2008015366
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609879337
TYPE 1 NPI
MO
05
—
1609879337
—
MO
Enumeration date
09/04/2008
Last updated
10/19/2020
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