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Organization
ST JOSEPH CENTER FOR OUTPATIENT SURGERY, LLC
Active
Organization
ST JOSEPH CENTER FOR OUTPATIENT SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA EDWARDS (ADMINISTRATOR)
(816) 364-9992
Entity
Organization
Contact information
Practice address
4510 FREDERICK AVE, SAINT JOSEPH, MO 64506-3238
(816) 364-9992
(816) 364-9996
Mailing address
4510 FREDERICK AVE, SAINT JOSEPH, MO 64506-3238
(816) 364-9992
(816) 364-9996
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1332
MO
Other
Enumeration date
04/12/2006
Last updated
04/29/2025
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