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Organization
THE AMBULATORY SURGICAL CENTER OF ST. LOUIS, LP
Active
Organization
THE AMBULATORY SURGICAL CENTER OF ST. LOUIS, LP
Active
Other names
The Surgical Center of St. Louis
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE L. REED (AUTHORIZED OFFICIAL, OFFICER-ASST.)
(972) 763-3859
Entity
Organization
Contact information
Practice address
12184 NATURAL BRIDGE ROAD, BRIDGETON, MO 63044-2017
(314) 739-0126
(314) 739-0790
Mailing address
12184 NATURAL BRIDGE ROAD, BRIDGETON, MO 63044-2017
(314) 739-0126
(314) 739-0790
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
187-3
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509373700
—
MO
Enumeration date
07/14/2006
Last updated
09/18/2009
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