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Organization
SURGICAL SUPPLY SOLUTIONS
Active
Organization
SURGICAL SUPPLY SOLUTIONS
Active
Other names
Surgical Supply Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EDWIN FARRELL CFA (OWNER)
(501) 658-6186
Entity
Organization
Contact information
Practice address
2425 SANSONNET LN, O FALLON, MO 63368-3597
(501) 658-6186
Mailing address
2425 SANSONNET LN, O FALLON, MO 63368-3597
(501) 658-6186
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
01/31/2023
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