Organization
RAINBOW PEDIATRICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA RUFFINO STIFFELMAN MD (PRESIDENT)
(314) 839-7500
Entity
Organization
Contact information
Practice address
1224 GRAHAM RD, SUITE 3009, FLORISSANT, MO 63031-8028
(314) 839-7500
(314) 839-8545
Mailing address
1224 GRAHAM RD, SUITE 3009, FLORISSANT, MO 63031-8028
(314) 839-7500
(314) 839-8545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R3N75
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500920905
—
MO
Enumeration date
12/05/2007
Last updated
06/18/2008
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