Organization
CENTER FOR SURGICAL EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE O. FREDERICK (ADMINISTRATOR/CEO)
(636) 256-0320
Entity
Organization
Contact information
Practice address
1130 TOWN AND COUNTRY COMMONS, TOWN AND COUNTRY, MO 63017-8200
(636) 256-0320
(636) 256-0327
Mailing address
1130 TOWN AND COUNTRY COMMONS, TOWN AND COUNTRY, MO 63017-8200
(636) 256-0320
(636) 256-0327
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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