Organization
CREVE COEUR SURGERY CENTER, LLC
Active
Other names
City Place Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P. EMMANUEL MD (BOARD MEMBER)
(314) 997-1777
Entity
Organization
Contact information
Practice address
845 N NEW BALLAS CT, SUITE 100, CREVE COEUR, MO 63141-7134
(314) 872-7100
Mailing address
845 N NEW BALLAS CT, SUITE 100, CREVE COEUR, MO 63141-7134
(314) 872-7100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
110-9
MO
Other
Enumeration date
01/10/2011
Last updated
05/20/2020
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