DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST. LOUIS LLC is an end-stage renal disease (esrd) treatment clinic center in Saint Louis, MO. DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST. LOUIS LLC NPI is 1669434544. The provider is registered as an organization entity type.
The provider Is Doing Business As Debaliviere Dialysis.
The provider's business location address is:
324 DE BALIVIERE AVE
SAINT LOUIS, MO
ZIP 63112-804
Phone: (314) 367-9111
Fax: (314) 367-9248
The provider's authorized official is Samuel Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 26D0652047 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/5/2006 and was last updated on 10/17/2023.