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Organization

PRECISION PLASTIC SURGERY, PC ST. PETERS OFFICE

Active
Parent organization
PRECISION PLASTIC SURGERY, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRECISION PLASTIC SURGERY, PC
Authorized official
DR. GERALD T LIONELLI MD (OWNER)
(636) 922-5575
Entity
Organization

Contact information

Practice address
70 JUNGERMANN CIRCLE, STE 302, ST. PETERS, MO 63376
(314) 843-0900
Mailing address
10004 KENNERLY RD, SUITE 260A, SAINT LOUIS, MO 63128-2141
(636) 922-5575

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
08/09/2012
Last updated
08/09/2012
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