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Washington University

Specialty details in registry · Saint Louis, MO

Call (314) 454-8917 Directions

At a glance

4921 Parkview Pl, Saint Louis, MO 63110-1032

NPPES record updated Apr 11, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4921 Parkview Pl Suite 8B
Saint Louis, MO 63110-1032
Professional details: NPI, taxonomy & registry record
NPI1730580820
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM1300X
Enumeration date
Sep 9, 2014
Record updated
Apr 11, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM1300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4921 Parkview Pl
Suite 8B
Saint Louis, MO 63110-1032
Phone
(314) 454-8917
Mailing address
PO BOX 7412011

CHICAGO, IL 606742011
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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