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Organization

NEW YOU SURGICAL WEIGHT LOSS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW LANGE (MD/OWNER)
(314) 887-7605
Entity
Organization

Contact information

Practice address
1000 DES PERES RD STE 120, SAINT LOUIS, MO 63131-2062
(314) 887-7605
(314) 887-7609
Mailing address
1000 DES PERES RD STE 120, SAINT LOUIS, MO 63131-2062
(314) 341-2327

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
03/17/2023
Last updated
03/16/2026
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