Organization
WEST COUNTY SURGICALSPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP L ROBBINS M.D. (PRESIDENT)
(314) 251-6840
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 7011B, SAINT LOUIS, MO 63141-8232
(314) 251-6840
(314) 251-7249
Mailing address
621 S NEW BALLAS RD, SUITE 7011B, SAINT LOUIS, MO 63141-8232
(314) 251-6840
(314) 251-7249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ2324
RAILROAD MEDICARE GROUP
MO
Enumeration date
10/03/2005
Last updated
10/19/2007
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