Organization
BELLEVUE SURGICAL ASSOCIATES, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C MEYER M. D. (PRESIDENT)
(314) 644-6300
Entity
Organization
Contact information
Practice address
1035 BELLEVUE AVE, SUITE 211, SAINT LOUIS, MO 63117-1854
(314) 644-6300
(314) 644-2503
Mailing address
1035 BELLEVUE AVE, SUITE 211, SAINT LOUIS, MO 63117-1846
(314) 644-6300
(314) 644-2503
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2003009024
MO
208600000X
Surgery Physician
2006001807
MO
208600000X
Surgery Physician
36097734
IL
208600000X
Surgery Physician
Primary
R8263
MO
208600000X
Surgery Physician
R9749
MO
363LA2200X
Adult Health Nurse Practitioner
140041
MO
363LF0000X
Family Nurse Practitioner
063677
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20361
HEALTHCARE USA
MO
01
—
37022
GROUP HEALTH PLAN
MO
Enumeration date
03/02/2006
Last updated
10/19/2007
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