Organization
WASHINGTON UNIVERSITY CLINICAL ASSOCIATES LLC
Active
Other names
Grant Medical and Diabetes Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY EGHIGIAN (SENIOR DIRECTOR WU MANAGED CARE)
(314) 273-0770
Entity
Organization
Contact information
Practice address
4320 FOREST PARK AVE STE 1100, SAINT LOUIS, MO 63108-2979
(314) 333-4100
Mailing address
PO BOX 7412037, CHICAGO, IL 60674-2011
(314) 273-0770
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507469906
—
MO
Enumeration date
07/03/2006
Last updated
05/12/2025
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