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Organization

VASCULAR SURGERY OF ST. LOUIS P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA RENEE CHAMBERLIN (MANAGER)
(314) 750-0935
Entity
Organization

Contact information

Practice address
2355 DOUGHERTY FERRY RD, SUITE 440, SAINT LOUIS, MO 63122-3325
(314) 614-8775
(314) 983-9559
Mailing address
2355 DOUGHERTY FERRY RD, SUITE 440, SAINT LOUIS, MO 63122-3325
(314) 614-8775
(314) 983-9559

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
R7H29
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202643524
MO
Enumeration date
11/27/2007
Last updated
04/17/2009
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