Provider Demographics
NPI:1144614538
Name:WASHINGTON UNIVERSITY
Entity Type:Organization
Organization Name:WASHINGTON UNIVERSITY
Other - Org Name:WEST COUNTY OTOLARYNGOLOGY OFFICE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, MANAGED CARE CONTRACTING
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:EGHIGIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-273-0770
Mailing Address - Street 1:605 OLD BALLAS RD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7000
Mailing Address - Country:US
Mailing Address - Phone:314-996-3845
Mailing Address - Fax:314-432-8208
Practice Address - Street 1:605 OLD BALLAS RD
Practice Address - Street 2:SUITE 124
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7000
Practice Address - Country:US
Practice Address - Phone:314-996-3845
Practice Address - Fax:314-432-8208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies