| Wuca - Forest Park Pediatrics, Llc | |
|
4488 Forest Park Ave Suite 230 Saint Louis MO 63108-2215 | |
| (314) 535-7855 | |
| (314) 534-2803 |
| Full Name | Wuca - Forest Park Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4488 Forest Park Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy Eghigian (DIRECTOR) |
| Authorized Official Contact | 3149350770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wuca - Forest Park Pediatrics, Llc 4488 Forest Park Ave Suite 230 Saint Louis MO 63108-2215 Ph: (314) 535-7855 | Wuca - Forest Park Pediatrics, Llc 4488 Forest Park Ave Suite 230 Saint Louis MO 63108-2215 Ph: (314) 535-7855 |
| NPI Number | 1033453527 |
|---|---|
| Provider Enumeration Date | 11/21/2012 |
| Last Update Date | 11/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033453527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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