Dva Healthcare Renal Care INC
NPI #1952362519 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1952362519
- Entity Type
- Organization
- Organization Name
- Dva Healthcare Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 31, 2006
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 200 BREVCO PLZ STE 201
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367
- Phone
- (636) 561-4799
Authorized Official
- Name
- SAMUEL WEY
- Title
- SR DIRECTOR LICENSURE&CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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