Organization
CUTTING EDGE SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES THACKER (RNFA)
(314) 724-8961
Entity
Organization
Contact information
Practice address
2840 CLARK AVE, SAINT LOUIS, MO 63103-2506
(314) 949-3066
Mailing address
2796 KINGS CROSSING DR, BARNHART, MO 63012-1174
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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