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Organization
SQUARE ONE SURGICAL ASSOCIATES
Active
Organization
SQUARE ONE SURGICAL ASSOCIATES
Active
Other names
Andrew Sheridan
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SHERIDAN CSFA (CSFA)
(636) 346-8182
Entity
Organization
Contact information
Practice address
15524 GOLDEN RIDGE CT, CHESTERFIELD, MO 63017-5124
(636) 346-8182
Mailing address
15524 GOLDEN RIDGE CT, CHESTERFIELD, MO 63017-5124
(636) 346-8182
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
246ZC0007X
Surgical Assistant
—
NULL
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
05/06/2022
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