NPI 1043220296

Mary S Heaney, MD

Practitioner Pediatrics Physician St. Louis, MO

Practice location

Address: 1465 S Grand Blvd, St. Louis, MO 63104-1003
Phone: (314) 268-4101
Fax: (314) 577-5379
Mailing address: 3691 Rutger Ave, St. Louis, MO 63110-2515

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence R9A23 (MO)

Other Pediatrics providers in Missouri →

Registry record

NPI: 1043220296
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2006
Record last updated: 12 Aug 2015

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.