# SAINT LOUIS UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAINT LOUIS UNIVERSITY
- **Other names:** SLUCare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215468491
- **Legal business name:** SAINT LOUIS UNIVERSITY
- **Authorized official:** FRED BUCKHOLD III M.D. (PROGRAM DIRECTOR)
- **Authorized official phone:** (314) 577-8762

## Contact information

- **Practice address:** 3660 VISTA AVE, SAINT LOUIS, MO 63110-2540
- **Practice address phone:** (314) 977-6100
- **Mailing address:** 1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
- **Mailing address phone:** (314) 577-8762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2017
- **Last updated:** 03/21/2017