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Organization
NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC
Active
Organization
NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA ROSE GENISIO PA-C (PA-C)
(314) 251-6364
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 297A, SAINT LOUIS, MO 63141-8232
(314) 251-6364
(314) 251-7897
Mailing address
621 S NEW BALLAS RD, SUITE 297A, SAINT LOUIS, MO 63141-8232
(314) 251-6364
(314) 251-7897
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2012027914
MO
Other
Enumeration date
03/23/2012
Last updated
11/02/2012
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