OrganizationActive
Affton Medical Clinic
NPI 1114048154 · Pediatric Adolescent Medicine Physician · Saint Louis, MO
Provider details
- NPI number
- 1114048154
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Rubilinda Casino, Medical Director
- License
- R5P40 (MO)
Practice location
59 Grasso Plz
Saint Louis, MO 63123-3107
Phone: (314) 638-9309
Fax: (314) 638-9333
Mailing address
59 Grasso Plz
Saint Louis, MO 63123-3107
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.