Mark C. Eddy, MD

Pediatric Endocrinology Physician · Saint Louis, MO

Individual Active NPI

NPI number 1760596126

Practice location

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone
(314) 577-5648
Fax
(314) 268-6448

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NPI record

NPI
1760596126
Entity type
Individual (Type 1)
Enumeration date
August 19, 2006
Last updated
January 15, 2021
Certified
January 15, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Endocrinology Physician Primary 2080P0205X 105496 MO

About Dr. Eddy

Mark C. Eddy, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Endocrinology Physician (code 2080P0205X). The practice location is 1465 S Grand Blvd, Saint Louis, MO 63104-1003. The NPI number 1760596126 was assigned on August 19, 2006 and the record was last updated on January 15, 2021.

Dr. Eddy lists a license in the registry: #105496 (MO) for Pediatric Endocrinology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark C. Eddy, MD?

The NPI number is 1760596126.

What is the phone number of Dr. Eddy?

The phone number listed for the practice location is (314) 577-5648.

Where is Dr. Eddy located?

1465 S Grand Blvd, Saint Louis, MO 63104-1003.

What is the taxonomy code for Dr. Eddy?

The primary taxonomy code is 2080P0205X – Pediatric Endocrinology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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