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Organization

NEPHROLOGY CONSULTANTS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT EMMETT CUDDIHEE JR. MD (PRESIDENT)
(636) 458-3664
Entity
Organization

Contact information

Practice address
18000 INDIAN TREE RUN, GLENCOE, MO 63038-1576
(636) 458-3664
(314) 821-3481
Mailing address
18000 INDIAN TREE RUN, GLENCOE, MO 63038-1576
(636) 458-3664
(314) 821-3481

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29020
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20663920
MO
Enumeration date
06/03/2009
Last updated
06/03/2009
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