Organization
PEDS' NEEDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTUAN L. HALL SR. (CFO/VP)
(314) 621-5900
Entity
Organization
Contact information
Practice address
1624 DELMAR BLVD, SUITE A, SAINT LOUIS, MO 63103-1808
(314) 621-5900
(314) 621-5266
Mailing address
1624 DELMAR BLVD, SUITE A, SAINT LOUIS, MO 63103-1808
(314) 621-5900
(314) 621-5266
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
J208327004
MO
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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