Organization
OUTPATIENT SURGERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY E SUDEKUM M.D. (PHYSICIAN)
(636) 730-3000
Entity
Organization
Contact information
Practice address
830 WATERBURY FALLS DR, O FALLON, MO 63368-2215
(636) 730-3000
(636) 730-3010
Mailing address
830 WATERBURY FALLS DR, O FALLON, MO 63368-2215
(636) 730-3000
(636) 730-3010
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
11/06/2007
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