Organization
WESTBROOK DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK W BRAXTON MD (PRESIDENT/NEPHROLOGIST)
(573) 334-9564
Entity
Organization
Contact information
Practice address
140 WEST DRIVE, CAPE GIRARDEAU, MO 63703
(573) 803-2728
Mailing address
1349 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1727
(573) 334-9564
(573) 334-1879
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
11/23/2021
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