Organization
PHYSICIANS AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOEDEFELD MD (OWNER/MEDICAL DIRECTOR)
(636) 706-0560
Entity
Organization
Contact information
Practice address
114 PIPER HILL DR STE 101, SAINT PETERS, MO 63376-1661
(636) 706-0560
(636) 244-1735
Mailing address
114 PIPER HILL DR STE 101, SAINT PETERS, MO 63376-1661
(636) 706-0560
(636) 244-1735
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
04/11/2024
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