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Organization
MERCY CLINIC BURN AND PLASTIC SURGERY, LLC
Active
Organization
MERCY CLINIC BURN AND PLASTIC SURGERY, LLC
Active
Parent organization
MERCY CLINIC EAST COMMUNITIES
Other names
Mercy Burn & Plastic Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CLINIC EAST COMMUNITIES
Authorized official
KERRY DUNGER (EXECUTIVE DIRECTOR - FINANCE)
(314) 364-3707
Entity
Organization
Contact information
Practice address
621 S. NEW BALLAS ROAD, SUITE 7003-B, ST. LOUIS, MO 63141-8275
(314) 251-5570
(314) 251-5571
Mailing address
621 S. NEW BALLAS ROAD, SUITE 7003-B, ST. LOUIS, MO 63141-8275
(314) 251-5570
(314) 251-5571
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506063908
—
MO
Enumeration date
03/06/2007
Last updated
04/25/2025
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