| Wuca-kids Docs, Llc | |
|
13001 N Outer 40 Rd Suite 340 Chesterfield MO 63017-5941 | |
| (314) 454-6444 | |
| (314) 454-6445 |
| Full Name | Wuca-kids Docs, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13001 N Outer 40 Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Cathy Eghigian (DIRECTOR) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wuca-kids Docs, Llc 13001 N Outer 40 Rd Suite 340 Chesterfield MO 63017-5941 Ph: (314) 454-6444 | Wuca-kids Docs, Llc 13001 N Outer 40 Rd Suite 340 Chesterfield MO 63017-5941 Ph: (314) 454-6444 |
| NPI Number | 1750741526 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 11/23/2016 |
| Medicare PECOS PAC ID | 8921388547 |
|---|---|
| Medicare Enrollment ID | O20161216001114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750741526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Pamela B Kane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982691713 PECOS PAC ID: 0547541906 Enrollment ID: I20161227001785 |
| Provider Name | Janet Gwen Mueller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083601819 PECOS PAC ID: 9032491659 Enrollment ID: I20170116000570 |
| Provider Name | John Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861564973 PECOS PAC ID: 7113209743 Enrollment ID: I20170116000644 |
| Provider Name | Rebecca K Bullivant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144217977 PECOS PAC ID: 8224310867 Enrollment ID: I20170117000307 |
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