Organization
ST LOUIS KIDNEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY SELTZER M.D. (AUTHORIZED MEMBER)
(314) 825-0361
Entity
Organization
Contact information
Practice address
12855 N 40 DR, SUITE 205, SAINT LOUIS, MO 63141-8657
(314) 720-0900
(314) 579-0108
Mailing address
12855 N 40 DR, SUITE 205, SAINT LOUIS, MO 63141-8657
(314) 720-0900
(314) 579-0108
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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