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Organization
BALLAS OUTPATIENT SURGERY CENTER LP
Active
Organization
BALLAS OUTPATIENT SURGERY CENTER LP
Active
Other names
HEALTHSOUTH BALLAS OUTPATIENT SURGERY CENTER, L.P.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L SHARFF JR. (VP/SECREATARY)
(205) 545-2572
Entity
Organization
Contact information
Practice address
450 N NEW BALLAS RD, STE 103, SAINT LOUIS, MO 63141-6835
(314) 991-0776
Mailing address
450 N NEW BALLAS RD, STE 103, SAINT LOUIS, MO 63141-6835
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507697704
—
MO
Enumeration date
04/03/2006
Last updated
05/28/2009
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