Organization
ELITE SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARIN M. MINKIN D.O. (ADMINISTRATOR)
(314) 965-8622
Entity
Organization
Contact information
Practice address
2355 DOUGHERTY FERRY RD STE 430, SAINT LOUIS, MO 63122-3325
(888) 826-4546
(888) 826-4546
Mailing address
PO BOX 323, NEW MELLE, MO 63365-0323
(888) 826-4546
(888) 826-4546
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
12/07/2018
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