# CUTTING EDGE SURGICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063233583
- **Authorized official:** JAMES THACKER (RNFA)
- **Authorized official phone:** (214) 227-2457

## Contact information

- **Practice address:** 2840 CLARK AVE, SAINT LOUIS, MO 63103-2506
- **Practice address phone:** (214) 227-2457
- **Mailing address:** 2796 KINGS CROSSING DR, BARNHART, MO 63012-1174
- **Mailing address phone:** (214) 227-2457

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2024
- **Last updated:** 06/26/2026