Organization
ARCHWAY LITHOTRIPSY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT G LANDECK RT (R) CLS (PRESIDENT)
(636) 939-6633
Entity
Organization
Contact information
Practice address
85 JASON CT, SAINT CHARLES, MO 63304-1233
(636) 939-6633
Mailing address
85 JASON CT, SAINT CHARLES, MO 63304-1233
(636) 939-6633
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
04/15/2010
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