Organization
PEDIATRIC NEURODEVELOPMENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVI E. DOMNITZ-GEBET D.O. (AUTHORIZED REP/ OWNER/ MD)
(636) 778-9212
Entity
Organization
Contact information
Practice address
17300 N OUTER 40 RD, SUITE 205, CHESTERFIELD, MO 63005-1364
(636) 778-9212
Mailing address
17300 N OUTER 40 RD, SUITE 205, CHESTERFIELD, MO 63005-1364
(636) 778-9212
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up