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Organization
OLIVE AMBULATORY SURGERY CENTER, LLC
Active
Organization
OLIVE AMBULATORY SURGERY CENTER, LLC
Active
Other names
North Campus Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER / AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
633 EMERSON RD, SUITE #120, CREVE COEUR, MO 63141-6739
(314) 991-2090
(314) 991-7712
Mailing address
633 EMERSON RD STE 140, CREVE COEUR, MO 63141-6739
(314) 991-2090
(314) 991-7712
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
10/14/2024
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