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Organization

UROLOGY OF ST. LOUIS, INC.

Active
Parent organization
UROLOGY OF ST. LOUIS, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
UROLOGY OF ST. LOUIS, INC.
Authorized official
ANGIE SMITH (CREDENTIALING)
(314) 336-5062
Entity
Organization

Contact information

Practice address
326 FOUNTAINS PKWY, FAIRVIEW HEIGHTS, IL 62208-2041
(618) 277-3109
(618) 277-3109
Mailing address
PO BOX 14369, SAINT LOUIS, MO 63178-4369
(314) 567-6071

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
04/09/2026
Last updated
04/09/2026
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