Organization
ST. LOUIS SURGICAL CENTER, LC
Active
Other names
St. Louis Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
760 OFFICE PKWY, CREVE COEUR, MO 63141-7105
(314) 995-4700
(314) 995-4701
Mailing address
760 OFFICE PKWY, CREVE COEUR, MO 63141-7105
(314) 995-4700
(314) 995-4701
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
151-1
MO
Other
Enumeration date
04/19/2006
Last updated
10/31/2017
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