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Organization
INSTITUTE FOR OUTPATIENT SURGERY, LLC
Active
Organization
INSTITUTE FOR OUTPATIENT SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWELL SCHOENGARTH M.D. (MEDICAL DIRECTOR)
(573) 499-1150
Entity
Organization
Contact information
Practice address
402 KEENE ST, SUITE 200, COLUMBIA, MO 65201-6626
(573) 499-1150
(573) 443-4669
Mailing address
402 KEENE ST, SUITE 200, COLUMBIA, MO 65201-6626
(573) 499-1150
(573) 443-4669
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
116-2
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157213
ANTHEM BLUE CROSS
MO
01
—
338230
HEALTHLINK
MO
Enumeration date
08/24/2005
Last updated
04/20/2008
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