# COLORECTAL SPECIALISTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851496574
- **Authorized official:** MRS. CINDY SCHUVAL (OFFICE MANAGER/SECRETARY-CORPORATE)
- **Authorized official phone:** (314) 849-1811

## Contact information

- **Practice address:** 12345 WEST BEND DR., SUITE 303, ST. LOUIS, MO 63128
- **Practice address phone:** (314) 849-1811
- **Practice address fax:** (314) 849-7470
- **Mailing address:** 12345 WEST BEND DR., SUITE 303, ST. LOUIS, MO 63128
- **Mailing address phone:** (314) 849-1811
- **Mailing address fax:** (314) 849-7470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 12/12/2011