Organization
ST. CHARLES NEPHROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRIKAS I JUKNIS M.D. (PRESIDENT)
(636) 928-0123
Entity
Organization
Contact information
Practice address
6 JUNGERMANN CIR, SUITE 215, SAINT PETERS, MO 63376-1621
(636) 928-0123
(636) 928-0129
Mailing address
6 JUNGERMANN CIR, SUITE 215, SAINT PETERS, MO 63376-1621
(636) 928-0123
(636) 928-0129
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2000158727
MO
Other
Enumeration date
07/20/2007
Last updated
09/21/2020
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