Organization
MIDWEST VASCULAR AND ENDOVASCULAR SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA R CHAMBERLIN (MANAGER)
(314) 644-2202
Entity
Organization
Contact information
Practice address
1031 BELLEVUE AVE, SUITE 349, SAINT LOUIS, MO 63117-1818
(314) 644-2202
(314) 644-3155
Mailing address
1031 BELLEVUE AVE, SUITE 349, SAINT LOUIS, MO 63117-1818
(314) 644-2202
(314) 644-3155
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
108988
MO
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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