Organization
FLORISSANT VALLEY SURGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORIN HANSON M.D. (OWNER)
(314) 741-3400
Entity
Organization
Contact information
Practice address
11125 DUNN RD, SUITE 402, SAINT LOUIS, MO 63136-6132
(314) 741-3400
Mailing address
11125 DUNN RD, SUITE 402, SAINT LOUIS, MO 63136-6132
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
105535
MO
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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