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Organization
ADVANCED SURGICAL CENTER OF SUNSET HILLS LLC
Active
Organization
ADVANCED SURGICAL CENTER OF SUNSET HILLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SCOVILLE RN (NURSE ADMINISTRATOR)
(314) 842-2607
Entity
Organization
Contact information
Practice address
4594 S LINDBERGH BLVD, SAINT LOUIS, MO 63127
(314) 842-2607
(314) 842-2664
Mailing address
3663 ANITA LN, SAINT LOUIS, MO 63125-4501
(314) 842-2607
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
07/19/2019
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