Organization
ST LOUIS SURGICAL DOCTORS GROUP LLC
Active
Organization
ST LOUIS SURGICAL DOCTORS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL K SRIVASTAVA M.D. (PHYSICIAN)
(314) 577-5778
Entity
Organization
Contact information
Practice address
3535 S JEFFERSON AVE, SUITE 201, SAINT LOUIS, MO 63118-3930
(314) 577-5778
Mailing address
548 CLAYMONT PLACE DR, BALLWIN, MO 63011-2553
(314) 577-5778
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2004034166
MO
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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