Organization
KIRKWOOD AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES P NEELEY JR. (REGIONAL DIRECTOR OF OPERATIONS)
(985) 774-9609
Entity
Organization
Contact information
Practice address
1028 S KIRKWOOD RD, SAINT LOUIS, MO 63122-7222
(636) 534-2300
Mailing address
1028 S KIRKWOOD RD, SAINT LOUIS, MO 63122-7222
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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