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Organization
FRESENIUS VASCULAR CARE ST LOUIS ASC LLC
Active
Organization
FRESENIUS VASCULAR CARE ST LOUIS ASC LLC
Active
Other names
Azura Surgery Center St. Louis
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (SENIOR VP OPERATIONS)
(717) 515-4048
Entity
Organization
Contact information
Practice address
201 DUNN RD, FLORISSANT, MO 63031-7928
(314) 830-3841
(314) 831-0153
Mailing address
PO BOX 419581, BOSTON, MA 02241-9581
(610) 644-8900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245781459
—
MO
Enumeration date
10/23/2016
Last updated
03/13/2025
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