Organization
THE JOHN D. BOUHASIN CENTER FOR CHILDREN WITH BLEEDING DISORDERS
Active
Parent organization
SSM HEALTH CARDINAL GLENNON CHILDRENS HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARDINAL GLENNON CHILDRENS HOSPITAL
Authorized official
KAREN REWERTS (FINANCE SYSTEM VP)
(314) 989-2034
Entity
Organization
Contact information
Practice address
1465 S. GRAND, ST. LOUIS, MO 63104-1095
(314) 268-4000
Mailing address
1465 S. GRAND, ST. LOUIS, MO 63104-1095
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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