NPI 1154612166

Mercy Clinic Children's Urology LLC

Organisation Pediatric Urology Physician Saint Louis, MO

Practice location

Address: 621 S New Ballas Rd Suite 537-A, Saint Louis, MO 63141-8232
Phone: (314) 251-6990
Fax: (314) 251-6998

Authorised official

Name: Kerry Dunger
Title: Executive Director - Finance
Phone: (314) 364-3707

Registered specialties

Pediatric Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X

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Registry record

NPI: 1154612166
Entity type: Organization
NPI issued: 25 Apr 2011
Record last updated: 28 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.