| NPI | 1336748110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK W BRAXTON President/Nephrologist 573-334-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2021-11-23 |