Organization · Type 2 NPI
St. Louis Nephrology and Hypertension
Nephrology Physician · Maryville, IL
NPI number
1174601124
Active
Practice location
2102 Vadalabene Dr
Maryville, IL 62062-5632
Mailing address
PO Box 797021
St. Louis, MO 63179-7000
Other practice locations
- 101 Lanter Ct, Collinsville, IL 62234-6124 · (618) 344-2080
- 9 American Vlg, Granite City, IL 62040-3706 · (618) 452-5858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | R9H62 (MO) |
Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2 other providers at this address
About NPI 1174601124
St. Louis Nephrology and Hypertension's National Provider Identifier is 1174601124, issued on Nov 1, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Maryville, IL. The record was last updated on Sep 10, 2024.