Gabriels Pride Pediatrics
Gabriels Pride Pediatrics is a Pediatrics Physician in Ofallon, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
1337 Park Plaza Dr Ste 1Ofallon, IL 62269-1777
Phone: (618) 624-7391
Fax: (618) 624-7392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 036095488 (IL) |
|---|
Record details
| NPI number | 1124285028 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Levvaulh — Md President Owner · (618) 624-7391 |
| NPI enumerated | May 19, 2008 |
| Last updated in NPPES | May 19, 2008 |
| Mailing address | 1337 Park Plaza Drive, Suite 1, Ofallon, IL 62269-1777 |