Organization
PREMIER SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK LAMBERT NP-BC (OWNER)
(636) 288-5225
Entity
Organization
Contact information
Practice address
1334 HERITAGE PKWY, WENTZVILLE, MO 63385-3570
(636) 288-5225
Mailing address
1334 HERITAGE PKWY, WENTZVILLE, MO 63385-3570
(636) 288-5225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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