Organization
BALLAS OUTPATIENT SURGERY CENTER LP
Active
Other names
HEALTHSOUTH BALLAS OUTPATIENT SURGERY CENTER, L.P.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L SHARFF JR. (VP/SECREATARY)
(205) 545-2572
Entity
Organization
Contact information
Practice address
450 N NEW BALLAS RD, STE 103, SAINT LOUIS, MO 63141-6835
(314) 991-0776
Mailing address
450 N NEW BALLAS RD, STE 103, SAINT LOUIS, MO 63141-6835
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507697704
—
MO
Enumeration date
04/03/2006
Last updated
05/28/2009
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