Organization
PEDIATRIC UROLOGY SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASIMIR FIRLIT MD (OWNER/MANAGING EMPLOYEE)
(314) 268-4154
Entity
Organization
Contact information
Practice address
1465 S GRAND BLVD, ROOM 3709, SAINT LOUIS, MO 63104-1003
(314) 268-4154
Mailing address
1836 LACKLAND HILL PKWY, SAINT LOUIS, MO 63146-3572
(314) 989-0300
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2003025342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209196708
—
MO
Enumeration date
05/27/2008
Last updated
05/27/2008
Update your record
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