Organization
SURGERY SPECIALISTS OF MISSOURI LLC
Active
Organization
SURGERY SPECIALISTS OF MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAN L WAGNER MD (MEMBER)
(314) 776-7112
Entity
Organization
Contact information
Practice address
10007 KENNERLY RD, SUITE A, SAINT LOUIS, MO 63128-2179
(314) 776-7112
(314) 776-7114
Mailing address
PO BOX 29255, SAINT LOUIS, MO 63126-0255
(314) 776-7112
(314) 776-7114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
07/29/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up