Jennifer S Ladage, MD Valid NPI
Individual provider · Pediatrics Physician · St. Louis, MO
- NPI
- 1477642106
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- 105984 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-10-12
- Last updated
- 2021-01-11
Practice location
1465 S Grand Blvd
St. Louis, MO 63104-1003
(314) 268-4070