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Organization
NICE NEPHROLOGY, LLC
Active
Organization
NICE NEPHROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAISA A NAZZAL MD (OWNER / MD)
(314) 993-4949
Entity
Organization
Contact information
Practice address
555 N NEW BALLAS RD STE 210, SAINT LOUIS, MO 63141-6844
(314) 993-4949
Mailing address
PO BOX 315, BALLWIN, MO 63022-0315
(314) 432-1047
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
02/16/2023
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