NPI 1184908865

St Louis University

Organisation Pediatric Urology Physician Saint Louis, MO

Practice location

Address: 1465 S Grand Blvd, Saint Louis, MO 63104-1003
Phone: (314) 268-4070
Mailing address: 3545 Lindell Blvd Fl 3, Saint Louis, MO 63103-1020

Authorised official

Name: Alyce Lanxon
Title: Executive Director
Phone: (314) 977-6828

Registered specialties

Pediatric Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X

Other Urology providers in Missouri →

Registry record

NPI: 1184908865
Entity type: Organization
NPI issued: 29 Sep 2011
Record last updated: 21 Sep 2021

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.