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St. Louis Nephrology And Hypertension
Nephrology Physician in Maryville, Illinois
NPI 1174601124

St. Louis Nephrology And Hypertension is a Nephrology Physician based in Saint Louis, IL and is specialized in Nephrology. St. Louis Nephrology And Hypertension practices in Maryville, IL. The NPI Number for St. Louis Nephrology And Hypertension is 1174601124 and holds a License No. R9H62 (Illinois).

The current practice location address for St. Louis Nephrology And Hypertension is 2102 Vadalabene Dr, Maryville, IL and can be reached out via phone at 618-288-1196.

Location: 2102 Vadalabene Dr, Maryville, IL, 63179-7000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174601124
Provider Name
St. Louis Nephrology And Hypertension
Credential
Provider Entity Type
Organization
Address
2102 Vadalabene Dr, Maryville, IL, 63179-7000
Phone Number
618-288-1196
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG8471 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2102 Vadalabene Dr
City
Maryville
State
Illinois
Zip
62062-5632
Phone Number
618-288-1196
Fax Number
person
Provider Business Mailing Address Details
Address
2102 Vadalabene Dr
City
Maryville
State
Illinois
Zip
62062-5632
Phone Number
618-288-1196
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
R9H62 (Missouri)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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