Organization
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA L TIMMERMANN MS, RD, LD (REGISTERED DIETITIAN)
(314) 577-5319
Entity
Organization
Contact information
Practice address
1465 S GRAND BLVD, DIET OFFICE, SAINT LOUIS, MO 63104-1003
(314) 577-5319
Mailing address
1465 S GRAND BLVD, DIET OFFICE, SAINT LOUIS, MO 63104-1003
(314) 577-5319
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
2010011211
MO
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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