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NPI Code Detail

MEDICARE: STRICTLY PEDIATRICS, INC.

MEDICARE: STRICTLY PEDIATRICS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0200XPediatric Registered Nurse296-15MO

General Provider Information

NPI Number : 1922131283
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRICTLY PEDIATRICS, INC.
Provider Business Mailing Address
First Line : 56 WORTHINGTON ACCESS DR
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-3806
Country : US
Telephone Number : 314-439-0800
Fax Number : 314-439-0801
Provider Business Practice Location Address
First Line : 56 WORTHINGTON ACCESS DR
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-3806
Country : US
Telephone Number : 314-439-0800
Fax Number : 314-439-0801
Authorized Official
Title or Position : BILLING MANAGER
Name : MRS. DEBORAH S RAGSDALE
Credential :
Telephone Number : 314-439-0800
Provider Enumeration Date : 03/14/2007
Last Update Date : 08/22/2020

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Directions to “STRICTLY PEDIATRICS, INC. ” Practice Location

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