Organization Name: | WASHINGTON UNIVERSITY |
NPI Number: | 1083954861 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY EGHIGIAN (DIRECTOR) |
Mailing Address: | 11 Garvey Pkwy Saint Charles |
State: | MO US |
Postal Code: | 633035614 |
Phone Number: | 6364417280 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2013 |
NPI Last Update Date: | 02/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |