Organization
ADVANCED SURGICAL CENTER OF SUNSET HILLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SCOVILLE RN (NURSE ADMINISTRATOR)
(314) 842-2607
Entity
Organization
Contact information
Practice address
4594 S LINDBERGH BLVD, SAINT LOUIS, MO 63127
(314) 842-2607
(314) 842-2664
Mailing address
3663 ANITA LN, SAINT LOUIS, MO 63125-4501
(314) 842-2607
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
07/19/2019
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