| NPI | 1407916653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHANJALAL DARA Medical Director 314-869-4978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MO LC0062653) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |