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Organization

MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERRY DUNGER (EXECUTIVE DIRECTOR - FINANCE)
(314) 364-3707
Entity
Organization

Contact information

Practice address
625 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8253
(314) 364-4347
Mailing address
625 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8253

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
03/15/2016
Last updated
04/28/2025
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