Dr. Iris M Mandell, MD
Pediatrics in Saint Louis, MO. Individual provider (NPI-1).
NPI number1366769887
StatusActive
Last updated in NPPESNov 15, 2016
Details
- NPI
- 1366769887
- Entity type
- Individual (NPI-1)
- Name
- Dr. Iris M Mandell
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2010
- Last updated
- Nov 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 2015022184 | MO | Yes |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | 2015022184 | MO |
Practice location
1 Childrens PlSaint Louis, MO 63110-1002
Phone 314-454-2527 · Fax 314-747-8880
Mailing address
1 Childrens PlNwt 8328 C B 8116
Saint Louis, MO 63110-1002
Phone 314-454-2527 · Fax 314-747-8880
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