Organization
CENTRAL WEST END ENDOSCOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RUSSELL HORACE (CONSULTANT)
(618) 235-2299
Entity
Organization
Contact information
Practice address
4510 DELMAR BLVD STE B, ST. LOUIS, MO 63108-1702
(314) 334-4499
(314) 696-0073
Mailing address
4510 DELMAR BLVD STE B, ST. LOUIS, MO 63108-1702
(314) 334-4499
(314) 696-0073
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
02/23/2025
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