OrganizationActive
Mercy Clinic Child Neurology, LLC
NPI 1285930206 · Neurology with Special Qualifications in Child Neurology Physician · Saint Louis, MO
Provider details
- NPI number
- 1285930206
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mercy Clinic East Communities
- Organization subpart
- Yes
- Authorized official
- Kerry Dunger, Executive Director - Finance(314) 364-3707
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
621 S New Ballas Rd
Suite 5009-B
Saint Louis, MO 63141-8232
Phone: (314) 251-5866
Fax: (314) 251-5867
Approximate (ZIP-level) locationGet directions
Mailing address
621 S New Ballas Rd
Saint Louis, MO 63141-8232
Other names (DBA / former)
- Former legal business name
- Mercy Child Neurology
Registry dates
- Enumerated
- 2011-02-09
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.