Healthcare Provider Details

I. General information

NPI: 1902256126
Provider Name (Legal Business Name): MARIA MILAGROS GALARDI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2016
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PL DEPT NEUROLOGY, STE 2130
SAINT LOUIS MO
63110-1002
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 314-454-6120
  • Fax: 314-454-4225
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number14272069-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number2021025265
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: