Organization
BOONSLICK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J LOBONC (MD)
(636) 441-4144
Entity
Organization
Contact information
Practice address
5600 MEXICO RD STE 21, SAINT PETERS, MO 63376-1660
(636) 441-4144
(636) 441-4112
Mailing address
5600 MEXICO RD STE 21, SAINT PETERS, MO 63376-1660
(636) 441-4144
(636) 441-4112
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
R7C25
MO
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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