Boonslick Pediatrics
Boonslick Pediatrics is a Preferred Provider Organization in Saint Peters, Missouri. Licensed in Missouri. Registered with an NPI since 2008.
- Licensed in
- MO
- In the registry since
- 2008
Practice location Address checks out
5600 Mexico Rd Ste 21Saint Peters, MO 63376-1660
Phone: (636) 441-4144
Fax: (636) 441-4112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence R7C25 (MO) |
|---|
Record details
| NPI number | 1962675744 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Lobonc — Md · (636) 441-4144 |
| NPI enumerated | April 11, 2008 |
| Last updated in NPPES | April 11, 2008 |
| Mailing address | 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 |