Organization
ST. LOUIS VASCULAR SURGICAL SPECIALISTS PC
Active
Organization
ST. LOUIS VASCULAR SURGICAL SPECIALISTS PC
Active
Other names
St. Louis Vascular Surgery Specialists, St. Louis Limb Preservation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT IVAN HACKER MD (CEO OWNER)
(314) 755-1084
Entity
Organization
Contact information
Practice address
1901 HRC PLAZA DR, LAKE ST LOUIS, MO 63367-2360
(314) 755-1084
(314) 755-1184
Mailing address
1901 HRC PLAZA DR, LAKE ST LOUIS, MO 63367-2360
(314) 755-1084
(314) 755-1184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
06/05/2026
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