Organization
ADVANCED CARDIOVASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUS ASSI (ADMINISTRATOR)
(314) 774-7235
Entity
Organization
Contact information
Practice address
2335 DOUGHERTY FERRY RD, SUITE A, SAINT LOUIS, MO 63122-3313
(314) 774-7235
Mailing address
12430 TESSON FERRY RD, #117, SAINT LOUIS, MO 63128-2702
(314) 774-7235
(314) 729-3960
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
LC1326878
MO
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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