Organization
MASON RIDGE AMBULATORY SURGERY CENTER LP
Active
Other names
Gateway Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
12855 N 40 DR, SUITE 150, SAINT LOUIS, MO 63141-8657
(314) 336-1130
(314) 336-1136
Mailing address
12855 N 40 DR, SUITE 150, SAINT LOUIS, MO 63141-8657
(314) 336-1130
(314) 336-1136
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
10/11/2024
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