Organization
SQUARE ONE SURGICAL ASSOCIATES
Active
Other names
Andrew Sheridan
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SHERIDAN CSFA (CSFA)
(636) 346-8182
Entity
Organization
Contact information
Practice address
15524 GOLDEN RIDGE CT, CHESTERFIELD, MO 63017-5124
(636) 346-8182
Mailing address
15524 GOLDEN RIDGE CT, CHESTERFIELD, MO 63017-5124
(636) 346-8182
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710444872
NPPES
—
Enumeration date
04/05/2022
Last updated
05/06/2022
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