Organization
ST. LOUIS WOMEN'S SURGERY CENTER, LLC
Active
Other names
St. Louis Multispecialty Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
884 WOODS MILL RD, SUITE 100, BALLWIN, MO 63011-3657
(636) 779-0079
(636) 779-0080
Mailing address
884 WOODS MILL RD STE 100, BALLWIN, MO 63011-3657
(636) 779-0079
(636) 779-0080
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
140-2
MO
Other
Enumeration date
11/06/2006
Last updated
03/05/2021
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