Organization
WENTZVILLE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA EHLERS (ADMINISTRATOR)
(314) 560-5069
Entity
Organization
Contact information
Practice address
982 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3695
(314) 560-5069
Mailing address
633 EMERSON RD STE 100, SAINT LOUIS, MO 63141-6739
(314) 560-5069
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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