Organization
UROLOGY OF ST. LOUIS, INC.
Active
Other names
Sound Health Services, Neurosurgery of St Louis
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SMITH (CREDENTIALING MANAGER)
(314) 336-5062
Entity
Organization
Contact information
Practice address
12855 N 40 DR STE 375, SAINT LOUIS, MO 63141-8657
(314) 567-6071
(314) 453-9965
Mailing address
PO BOX 14369, SAINT LOUIS, MO 63178-4369
(314) 567-6071
(314) 453-9965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA12404
RR MEDICARE MO
MO
01
—
CA1767
RR MEDICARE IL
IL
Enumeration date
05/09/2006
Last updated
09/22/2025
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