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NPI Code Detail

MEDICARE: ST. JOSEPH NEPHROLOGY ASSOCIATES, P.A.

MEDICARE: ST. JOSEPH NEPHROLOGY ASSOCIATES, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianR8D62MO
2207RN0300XNephrology PhysicianMD105262MO
3207RN0300XNephrology PhysicianR9428MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841298171
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. JOSEPH NEPHROLOGY ASSOCIATES, P.A.
Provider Business Mailing Address
First Line : 1009 W SAINT MAARTENS DR
Second Line : SUITE F
City : SAINT JOSEPH
State : MO
Zip : 64506-2963
Country : US
Telephone Number : 816-232-8145
Fax Number : 816-279-1840
Provider Business Practice Location Address
First Line : 1009 W SAINT MAARTENS DR
Second Line : SUITE F
City : SAINT JOSEPH
State : MO
Zip : 64506-2963
Country : US
Telephone Number : 816-232-8145
Fax Number : 816-279-1840
Authorized Official
Title or Position : PRESIDENT
Name : DR. SCOTT S BROWN
Credential : MD
Telephone Number : 816-232-8145
Provider Enumeration Date : 07/11/2005
Last Update Date : 03/30/2015

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