Organization
SOUTH COUNTY OUTPATIENT SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WOOD (DIRECTOR)
(828) 236-3027
Entity
Organization
Contact information
Practice address
13303 TESSON FERRY RD, SAINT LOUIS, MO 63128-4062
(314) 842-3200
Mailing address
13303 TESSON FERRY RD, SAINT LOUIS, MO 63128-4062
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2006
Last updated
12/11/2007
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