Organization
FENTON PEDIATRICS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY LYNN BROWN (OFFICE MANAGER)
(636) 349-5437
Entity
Organization
Contact information
Practice address
714 GRAVOIS RD, STE. 200, FENTON, MO 63026-7727
(636) 349-5437
(636) 349-6663
Mailing address
714 GRAVOIS RD, STE. 200, FENTON, MO 63026-7727
(636) 349-5437
(636) 349-6663
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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