Organization
CENTER FOR SURGICAL SPECIALTIES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONET CHRISTOPHER MAIN DO (OWNER)
(660) 385-1006
Entity
Organization
Contact information
Practice address
1706 PROSPECT DR, MACON, MO 63552-2615
(660) 385-1006
(660) 385-1028
Mailing address
1836 LACKLAND HILL PKWY, ATTN: CREDENTIALING, SAINT LOUIS, MO 63146-3572
(314) 989-0300
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
110583
MO
Other
Enumeration date
08/01/2006
Last updated
08/22/2020
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