Organization
COLORECTAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY SCHUVAL (OFFICE MANAGER/SECRETARY-CORPORATE)
(314) 849-1811
Entity
Organization
Contact information
Practice address
12345 WEST BEND DR., SUITE 303, ST. LOUIS, MO 63128
(314) 849-1811
(314) 849-7470
Mailing address
12345 WEST BEND DR., SUITE 303, ST. LOUIS, MO 63128
(314) 849-1811
(314) 849-7470
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507304608
—
MO
Enumeration date
09/14/2006
Last updated
12/12/2011
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