Organization
MID-AMERICA SURGICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C EGAN M.D. (PHYSICIAN)
(314) 771-7677
Entity
Organization
Contact information
Practice address
3535 S JEFFERSON AVE, STE 101, SAINT LOUIS, MO 63118-3930
(314) 771-7677
(314) 773-7962
Mailing address
3535 S JEFFERSON AVE, STE 101, SAINT LOUIS, MO 63118-3930
(314) 771-7677
(314) 773-7962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207721903
—
MO
Enumeration date
06/04/2006
Last updated
06/19/2008
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