| NPI | 1942451380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL TAUK Medical Director 314-543-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MO LC0921675) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2009-02-24 |