Organization
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
Active
Other names
Cardinal Glennon Pediatric Surgery Center at Medical Park
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON DUDLEY (EVP/COO)
(314) 768-8032
Entity
Organization
Contact information
Practice address
1475 KISKER RD, SUITE 120, SAINT CHARLES, MO 63304-8781
(636) 498-7878
(636) 498-7420
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MO
Other
Enumeration date
04/01/2008
Last updated
12/22/2008
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