Organization
ST PETERS AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M SPEZIA D.O. (MEDICAL DIRECTOR)
(636) 928-1670
Entity
Organization
Contact information
Practice address
114 PIPER HILL DR, STE 101, SAINT PETERS, MO 63376-1661
(636) 928-1670
(636) 928-3792
Mailing address
114 PIPER HILL DR, STE 101, SAINT PETERS, MO 63376-1661
(636) 928-1670
(636) 928-3792
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
100-6
MO
Other
Enumeration date
01/31/2006
Last updated
08/22/2020
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