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Organization

INSTITUTE FOR OUTPATIENT SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOWELL SCHOENGARTH M.D. (MEDICAL DIRECTOR)
(573) 499-1150
Entity
Organization

Contact information

Practice address
402 KEENE ST, SUITE 200, COLUMBIA, MO 65201-6626
(573) 499-1150
(573) 443-4669
Mailing address
402 KEENE ST, SUITE 200, COLUMBIA, MO 65201-6626
(573) 499-1150
(573) 443-4669

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
116-2
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
157213
ANTHEM BLUE CROSS
MO
01
338230
HEALTHLINK
MO
Enumeration date
08/24/2005
Last updated
04/20/2008
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