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Organization

NOVAMED EYE SURGERY CENTER OF NORTH COUNTY LLC

Active
Other names
Woodcrest Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICAL)
(615) 234-5954
Entity
Organization

Contact information

Practice address
12101 WOODCREST EXECUTIVE DR, SUITE 101, SAINT LOUIS, MO 63141-5047
(314) 838-0321
(314) 838-6532
Mailing address
12101 WOODCREST EXECUTIVE DR, SUITE 101, SAINT LOUIS, MO 63141-5047
(314) 838-0321
(314) 838-6532

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
04/15/2016
Last updated
02/08/2023
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