# SURGICAL SUPPLY SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgical Supply Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033783576
- **Authorized official:** MICHAEL EDWIN FARRELL CFA (OWNER)
- **Authorized official phone:** (501) 658-6186

## Contact information

- **Practice address:** 2425 SANSONNET LN, O FALLON, MO 63368-3597
- **Practice address phone:** (501) 658-6186
- **Mailing address:** 2425 SANSONNET LN, O FALLON, MO 63368-3597
- **Mailing address phone:** (501) 658-6186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2021
- **Last updated:** 01/31/2023