# FRESENIUS VASCULAR CARE ST LOUIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Azura Vascular Care St. Louis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073878450
- **Authorized official:** DR. GREGG MILLER MD (SVP OPERATIONS)
- **Authorized official phone:** (717) 515-4048

## Contact information

- **Practice address:** 201 DUNN RD, FLORISSANT, MO 63031-7928
- **Practice address phone:** (314) 783-5955
- **Mailing address:** PO BOX 417668, BOSTON, MA 02241-7668
- **Mailing address phone:** (610) 644-8900
- **Mailing address fax:** (484) 924-0053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2012
- **Last updated:** 08/13/2025
