Organization
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Active
Other names
Farmington Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY EGHIGIAN (DIRECTOR, CREDENTIALING OPERATIONS)
(314) 935-0770
Entity
Organization
Contact information
Practice address
201 NORTH A ST, FARMINGTON, MO 63640
(573) 760-8040
Mailing address
7425 FORSYTH BLVD, CAMPUS BOX 8221, SAINT LOUIS, MO 63105-2171
(314) 935-0770
(314) 935-0575
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
09/24/2007
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