Loup Dialysis LLC

NPI #1154617892 in Fenton, Missouri

Provider Information

NPI Number
1154617892
Entity Type
Organization
Organization Name
Loup Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 21, 2011
Last Updated
Apr 3, 2024

Practice Location

Address
1011 BOWLES AVE
Address 2
STE 210
City
Fenton
ZIP Code
63026-2384
Phone
(636) 326-7130

Authorized Official

Name
SAMUEL T. WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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