Perry Kids Pediatrics
Pediatrics, Medical Toxicology in Perryville, MO. Organization (NPI-2).
NPI number1417123761
StatusActive
Last updated in NPPESMay 7, 2008
Details
- NPI
- 1417123761
- Entity type
- Organization (NPI-2)
- Legal business name
- Perry Kids Pediatrics
- Organization subpart
- No
- Enumeration date
- May 7, 2008
- Last updated
- May 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080T0002X | Pediatrics, Medical Toxicology | mo105937 | MO | Yes |
Practice location
210 Hospital LnPerryville, MO 63775-1276
Phone 573-517-0999 · Fax 573-517-0812
Mailing address
210 Hospital LanePerryville, MO 63670
United States Minor Outlying Islands
Phone 573-517-0999 · Fax 543-517-0812
Authorized official
Bhargav M Kanani
Administrator
5735170999
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