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Matthew Carroll Minnette, MD
Pediatrics Physician in St. Louis, Missouri
NPI 1114486115

Matthew Carroll Minnette is a Pediatrics Physician based in St. Louis, MO. Matthew Carroll Minnette practices in St. Louis, MO and has the professional credentials of MD. The NPI Number for Matthew Carroll Minnette is 1114486115 and holds a License No. 036160247 (Missouri).

The current practice location address for Matthew Carroll Minnette is 1465 S. Grand Blvd., St. Louis, MO and can be reached out via phone at 314-268-4070 and via fax at 314-268-4019.

Location: 1465 S. Grand Blvd., St. Louis, MO, 63104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114486115
Provider Name
Matthew Carroll Minnette
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1465 S. Grand Blvd., St. Louis, MO, 63104
Phone Number
314-268-4070
Fax Number
314-268-4019
Provider Enumeration Date
03/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1465 S. Grand Blvd.
City
St. Louis
State
Missouri
Zip
63104
Phone Number
314-268-4070
Fax Number
314-268-4019
person
Provider Business Mailing Address Details
Address
1465 S. Grand Blvd.
City
St. Louis
State
Missouri
Zip
63104
Phone Number
314-268-4070
Fax Number
314-268-4019
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
()
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036160247 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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