ST Louis University

Organization Active
NPI 1336368034
Pediatric Sports Medicine Physician Saint Louis, MO

NPI 1336368034 belongs to ST Louis University, a pediatric sports medicine physician with a practice location in Saint Louis, MO. The NPI was issued on April 24, 2007, and the record was last updated in NPPES on September 21, 2021.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010X Not listed

Practice location

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5643

Local context

Active NPPES records list 7 providers with pediatric sports medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 2 of them within 10 miles.

The same primary taxonomy is listed by 14 in Missouri and 283 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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