Washington University
Clinic/Center, Multi-Specialty in Saint Louis, MO. Organization (NPI-2).
NPI number1669995403
StatusActive
Last updated in NPPESApr 25, 2025
Details
- NPI
- 1669995403
- Entity type
- Organization (NPI-2)
- Legal business name
- Washington University
- Organization subpart
- No
- Enumeration date
- Jul 24, 2017
- Certification date
- Apr 25, 2025
- Last updated
- Apr 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
11125 Dunn Rd Ste 100Saint Louis, MO 63136-6132
Phone 314-747-1171 · Fax 314-362-3192
Mailing address
Po Box 7412011Chicago, IL 60674-2011
Phone 314-273-0770
Authorized official
Cathy Eghigian
Senior Director Managed Care
3142730770
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