Organization
WUSM BJC ACO PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY EGHIGIAN (DIRECTOR, CREDENTIALING OPERATIONS)
(314) 273-0770
Entity
Organization
Contact information
Practice address
660 S EUCLID AVE, CAMPUS BOX 8081, SAINT LOUIS, MO 63110-1010
(314) 273-0770
Mailing address
660 S EUCLID AVE, CAMPUS BOX 8081, SAINT LOUIS, MO 63110-1010
(314) 273-0770
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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