institution
Loup Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fenton, Missouri
NPI 1154617892

Loup Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Loup Dialysis Llc practices in Fenton, MO. The NPI Number for Loup Dialysis Llc is 1154617892 and holds a License No. (Missouri).

The current practice location address for Loup Dialysis Llc is 1011 Bowles Ave, Fenton, MO and can be reached out via phone at 636-326-7130 and via fax at 636-326-8011.

Location: 1011 Bowles Ave, Fenton, MO, 37027-7569
institution
Provider Profile Details
NPI Number
1154617892
Provider Name
Loup Dialysis Llc
Credential
Provider Entity Type
Organization
Address
1011 Bowles Ave, Fenton, MO, 37027-7569
Phone Number
636-326-7130
Fax Number
636-326-8011
Provider Enumeration Date
06/21/2011
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154617892 05 MO
institution
Provider Business Practice Location Address Details
Address
1011 Bowles Ave
City
State
Zip
63026-2384
Phone Number
636-326-7130
Fax Number
636-326-8011
person
Provider Business Mailing Address Details
Address
1011 Bowles Ave
City
State
Zip
63026-2384
Phone Number
636-326-7130
Fax Number
636-326-8011
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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