Organization
TOTS THRU TEENS PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABEL L ROSENBLOOM M.D. (PRESIDENT)
(314) 291-7766
Entity
Organization
Contact information
Practice address
12255 DEPAUL DR., SUITE 490, BRIDGETON, MO 63044
(314) 291-7766
(314) 291-7767
Mailing address
12255 DEPAUL DR., SUITE 490, BRIDGETON, MO 63044
(314) 291-7766
(314) 291-7767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R6G08
MO
208000000X
Pediatrics Physician
R7C02
MO
Other
Enumeration date
04/17/2008
Last updated
02/15/2012
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