Organization
SURGERY CENTERS OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DOUGLAS KULA CRAGG (OWNER/CEO)
(314) 695-8933
Entity
Organization
Contact information
Practice address
12101 WOODCREST EXECUTIVE DR STE 101, CREVE COEUR, MO 63141-5047
(314) 378-2085
(314) 659-8307
Mailing address
1015 S. SPOEDE RD., FRONTENAC, MO 63131-2610
(314) 695-8933
(314) 659-8307
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
02/08/2023
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