Organization · Type 2 NPI

ST Louis University

Pediatric Nephrology Physician · St. Louis, MO

NPI number 1437378205 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Call (314) 577-5662 Map

Mailing address

3545 Lindell Blvd Fl 3
St. Louis, MO 63103-1020

Specialties and licenses

Taxonomy	Code	License
Pediatric Nephrology Physician Primary	2080P0210X	None listed

Pediatric Nephrology Physician: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

572 other providers at this address

NPI record

NPI: 1437378205
Entity type: Organization (Type 2)
Issued: Apr 24, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Dept of Pediatric Nephrology · doing business as
Slucare Dept of Pediatric Nephrology · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437378205

ST Louis University's National Provider Identifier is 1437378205, issued on Apr 24, 2007. The primary taxonomy on file is Pediatric Nephrology Physician (2080P0210X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.