Organization
MATTIS ROAD SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KESSLER (ADMINISTRATOR)
(314) 952-8001
Entity
Organization
Contact information
Practice address
5139 MATTIS RD STE 100, SAINT LOUIS, MO 63128-2250
(314) 952-8001
Mailing address
5139 MATTIS RD STE 100, SAINT LOUIS, MO 63128-2250
(314) 952-8001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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