Organization
NORTH ST LOUIS COUNTY GENERAL SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANO NORIEGA FLORO JR. M.D. (PRESIDENT)
(314) 838-5600
Entity
Organization
Contact information
Practice address
11115 NEW HALLS FERRY RD, SUITE 303, FLORISSANT, MO 63033-7613
(314) 838-5600
(314) 838-5637
Mailing address
11115 NEW HALLS FERRY RD, SUITE 303, FLORISSANT, MO 63033-7613
(314) 838-5600
(314) 838-5637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19508778
MO TAX ID
MO
Enumeration date
10/17/2006
Last updated
04/29/2011
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