Organization
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY EGHIGIAN (DIRECTOR CREDENTIALING)
(314) 935-0770
Entity
Organization
Contact information
Practice address
4921 PARKVIEW PL LOWR LEVEL, CENTER FOR ADVANCED MEDICINE, SAINT LOUIS, MO 63110-1032
(314) 747-8566
(314) 747-5735
Mailing address
4921 PARKVIEW PL LOWR LEVEL, CENTER FOR ADVANCED MEDICINE, SAINT LOUIS, MO 63110-1032
(314) 747-8566
(314) 747-5735
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
091104
MO
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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