institution
Affton Medical Clinic
Pediatric Adolescent Medicine Physician in Saint Louis, Missouri
NPI 1114048154

Affton Medical Clinic is a Pediatric Adolescent Medicine Physician based in Saint Louis, MO and is specialized in Adolescent Medicine. Affton Medical Clinic practices in Saint Louis, MO. The NPI Number for Affton Medical Clinic is 1114048154 and holds a License No. R5P40 (Missouri).

The current practice location address for Affton Medical Clinic is 59 Grasso Plz, Saint Louis, MO and can be reached out via phone at 314-638-9309 and via fax at 314-638-9333.

Location: 59 Grasso Plz, Saint Louis, MO, 63123-3107
institution
Provider Profile Details
NPI Number
1114048154
Provider Name
Affton Medical Clinic
Credential
Provider Entity Type
Organization
Address
59 Grasso Plz, Saint Louis, MO, 63123-3107
Phone Number
314-638-9309
Fax Number
314-638-9333
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205357908 05 MO
institution
Provider Business Practice Location Address Details
Address
59 Grasso Plz
City
State
Zip
63123-3107
Phone Number
314-638-9309
Fax Number
314-638-9333
person
Provider Business Mailing Address Details
Address
59 Grasso Plz
City
State
Zip
63123-3107
Phone Number
314-638-9309
Fax Number
314-638-9333
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
R5P40 (Missouri)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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