Provider Demographics
NPI:1851482582
Name:CHILD NEUROLOGY ASSOCIATES INC
Entity Type:Organization
Organization Name:CHILD NEUROLOGY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ROHRBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-275-7070
Mailing Address - Street 1:226 S WOODS MILL RD
Mailing Address - Street 2:46 W
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3663
Mailing Address - Country:US
Mailing Address - Phone:314-275-7070
Mailing Address - Fax:314-275-2666
Practice Address - Street 1:226 S WOODS MILL RD
Practice Address - Street 2:46 W
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3663
Practice Address - Country:US
Practice Address - Phone:314-275-7070
Practice Address - Fax:314-275-2666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric NephrologyGroup - Single Specialty