WUCA SOUTHWEST PEDIATRICS LLC NPI 1972091825

NPI Information

NPI: 1972091825
Provider Name: WUCA SOUTHWEST PEDIATRICS LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 26D0438544

Address:
6526 LANSDOWNE AVE
SAINT LOUIS, MO
ZIP 63109
Phone: (314) 353-8777
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WUCA SOUTHWEST PEDIATRICS LLC is a multi-specialty clinic center in Saint Louis, MO. WUCA SOUTHWEST PEDIATRICS LLC NPI is 1972091825. The provider is registered as an organization entity type.

The provider's business location address is:

6526 LANSDOWNE AVE
SAINT LOUIS, MO
ZIP 63109-654
Phone: (314) 353-8777

The provider's authorized official is Cathy Eghigian .
The authorized official title is Director, Credentialing Operations and has the following contact phone number (314) 273-0770.

The CLIA number assigned to this NPI record is 26D0438544 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2018 and was last updated on 4/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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