St Louis Kidney, LLC
NPI #1114344348 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1114344348
- Entity Type
- Organization
- Organization Name
- St Louis Kidney, LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Mar 26, 2014
- Last Updated
- Mar 26, 2014
Practice Location
- Address
- 12855 N 40 DR
- Address 2
- SUITE 205
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63141-8657
- Phone
- (314) 720-0900
Authorized Official
- Name
- DR. JAY SELTZER, M.D.
- Title
- AUTHORIZED MEMBER
- Phone
- (314) 825-0361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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