Organization
ST. LOUIS PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN OGBEVOEN M.D (PRESIDENT)
(314) 283-9198
Entity
Organization
Contact information
Practice address
8 RAMSGATE DR, OLIVETTE, MO 63132-4116
(314) 283-9198
Mailing address
3533 DUNN RD, STE 210, FLORISSANT, MO 63033-6761
(314) 283-9198
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
103771
MO
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
About Stedi
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