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Organization

SURGICAL CLINIC INC

Active
Other names
Family Medicine Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT J OLIVER DO (DOCTOR OFFICE MANAGER)
(636) 240-1100
Entity
Organization

Contact information

Practice address
103 CHURCH ST, O FALLON, MO 63366-2894
(636) 240-1100
(636) 240-1104
Mailing address
103 CHURCH ST, O FALLON, MO 63366-2894
(636) 240-1100
(636) 240-1104

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/10/2006
Last updated
08/22/2020
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