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WASHINGTON UNIVERSITY CLINICAL ASSOCIATES BLUE FISH LLC NPI 1972912087


NPI Information

NPI: 1972912087
Provider Name: WASHINGTON UNIVERSITY CLINICAL ASSOCIATES BLUE FISH LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
12360 MANCHESTER RD
SUITE 100
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 966-8500
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WASHINGTON UNIVERSITY CLINICAL ASSOCIATES BLUE FISH LLC is a multi-specialty clinic center in Saint Louis, MO. WASHINGTON UNIVERSITY CLINICAL ASSOCIATES BLUE FISH LLC NPI is 1972912087. The provider is registered as an organization entity type.

The provider's business location address is:

12360 MANCHESTER RD
SUITE 100
SAINT LOUIS, MO
ZIP 63131-312
Phone: (314) 966-8500
Fax: (314) 966-4499

The provider's authorized official is Cathy Eghigian .
The authorized official title is Director and has the following contact phone number (314) 273-0770.

The enumeration date for this NPI number is 8/4/2014 and was last updated on 12/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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