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Organization
MID RIVERS AMBULATORY SURGERY CENTER LP
Active
Organization
MID RIVERS AMBULATORY SURGERY CENTER LP
Active
Other names
Mid Rivers Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AO)
(314) 800-2017
Entity
Organization
Contact information
Practice address
5401 VETERANS MEMORIAL PKWY, STE 100, SAINT PETERS, MO 63376-1680
(636) 441-0906
(636) 928-9288
Mailing address
5401 VETERANS MEMORIAL PKWY, STE 100, SAINT PETERS, MO 63376-1680
(636) 441-0906
(636) 928-9288
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
175
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509262606
—
MO
Enumeration date
05/24/2005
Last updated
10/11/2024
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