Your Village Stl Llc
Pediatrics
Your Village Stl Llc is a Wildwood, Missouri based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1719 Big Horn Basin Dr, Wildwood, Missouri - 63011-4821. They can be contacted on phone at
314-753-3982.
NPI number (Unique professional ID) for Your Village Stl Llc is
1205552643 which was assigned by NPPES on 18 Oct, 2022 and it was last updated on 18 Oct, 2022.
Your Village Stl Llc is a pediatrician who 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.
Complete Profile:
Your Village Stl Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Your Village Stl Llc |
|---|
Business Address:
Your Village Stl Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1719 Big Horn Basin Dr
Wildwood, MO, 63011-4821
United States |
|---|
| Phone Number : | 314-753-3982 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1205552643 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 Oct, 2022 |
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| Last Updated On : | 18 Oct, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jennifer Tietjen |
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| Official Title or Position : | Owner |
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| Phone Number : | 3147533982 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Your Village Stl Llc are as mentioned. Primary taxonomy code for Your Village Stl Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | - |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1719 Big Horn Basin Dr
Wildwood, MO, 63011-4821
United States |
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| Phone Number : | 314-753-3982 |
|---|
Business Location:
Patients can refer following map for directions to
Your Village Stl Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.