Washington University In St. Louis

NPI 1053593319 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1053593319
Enumeration Date 11/28/2007
Last Updated 11/28/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICK RICK
Position HEAD ATHLETIC TRAINER
Phone (314) 935-6461
Fax
Practice Location
1 BROOKINGS DR
CAMPUS BOX 1067
SAINT LOUIS MO, 63130-4862, US
Phone (314) 935-6461
Fax
Business Location
1 BROOKINGS DR
CAMPUS BOX 1067
SAINT LOUIS MO, 63130-4862, US
Phone (314) 935-6461
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Missouri
License Number 00062
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According to our database, Washington University In St. Louis NPI is 1053593319, taxonomy code is 2255A2300X and license number is 00062, license state is located at Missouri. Washington University In St. Louis physically located at 1 Brookings Dr, Saint Louis MO, 63130-4862. NPI Number 1033115704 has the healthcare provider type.

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1053593319 NPI number is provided on an as is basis without warranty of any kind. 1053593319 is maintained by the National Plan & Provider Enumeration System. The contents of Washington University In St. Louis are for informational purposes only.