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Organization

MERCY CLINIC TRAUMA AND GENERAL SURGERY, LLC

Active
Parent organization
MERCY CLINIC EAST COMMUNITIES
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY CLINIC EAST COMMUNITIES
Authorized official
JONATHAN TYLER STURGEON (CFO)
(314) 251-1917
Entity
Organization

Contact information

Practice address
621 S NEW BALLAS RD, SUITE 560-A, SAINT LOUIS, MO 63141-8232
(314) 251-6440
(314) 251-4456
Mailing address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
(314) 251-4456

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MO
2086S0127X
Trauma Surgery Physician
Primary
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
506063700
MO
Enumeration date
01/11/2007
Last updated
02/10/2026
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