Organization · Type 2 NPI
Dva Washington University Healthcare of Greater St. Louis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St. Louis, MO
NPI number
1669434544
Active
Practice location
324 De Baliviere Ave
St. Louis, MO 63112-1804
Fax (314) 367-9248
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1669434544
Dva Washington University Healthcare of Greater St. Louis LLC's National Provider Identifier is 1669434544, issued on Apr 5, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2026.