Organization
SURGEON'S CHOICE LLC
Active
Organization
SURGEON'S CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY JO MARIEN CRNFA (PRESIDENT)
(314) 458-6717
Entity
Organization
Contact information
Practice address
1144 NEW BALLWIN OAKS DR, BALLWIN, MO 63021-4472
(314) 458-6717
(636) 207-1914
Mailing address
1144 NEW BALLWIN OAKS DR, BALLWIN, MO 63021-4472
(314) 458-6717
(636) 207-1914
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
123589
MO
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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