Provider Demographics
NPI:1982752689
Name:FIRST STEPS PEDIATRICS, LLC
Entity type:Organization
Organization Name:FIRST STEPS PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:314-265-4992
Mailing Address - Street 1:10 S EUCLID AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-3807
Mailing Address - Country:US
Mailing Address - Phone:314-367-7711
Mailing Address - Fax:314-367-0177
Practice Address - Street 1:10 S EUCLID AVE
Practice Address - Street 2:SUITE G
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-3807
Practice Address - Country:US
Practice Address - Phone:314-367-7711
Practice Address - Fax:314-367-0177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health