Organization
WASHINGTON UNIVERSITY
Active
Parent organization
WASHINGTON UNIVERSITY
Other names
Village Square
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON UNIVERSITY
Authorized official
JODEAN BALDAUF (SR. DIRECTOR, BUSINESS OPERATIONS)
(314) 286-0812
Entity
Organization
Contact information
Practice address
1 VILLAGE SQUARE SHOPPING CENTER, SUITE 1, HAZELWOOD, MO 63042-1817
(314) 252-7110
(314) 410-4053
Mailing address
1 VILLAGE SQUARE SHOPPING CENTER, SUITE 1, HAZELWOOD, MO 63042-1817
(314) 252-7110
(314) 410-4053
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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