Organization
WHOLE CHILD PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CANGAS MD (MANAGING MEMBER)
(314) 435-4640
Entity
Organization
Contact information
Practice address
522 N NEW BALLAS RD STE 245, CREVE COEUR, MO 63141-6854
(314) 272-4005
(314) 442-7765
Mailing address
9788 GERALD DR, SAINT LOUIS, MO 63128-1708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2006007755
MO
Other
Enumeration date
03/20/2018
Last updated
03/12/2019
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