Organization
OLIVE AMBULATORY SURGERY CENTER, LLC
Active
Other names
North Campus Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER / AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
633 EMERSON RD, SUITE #120, CREVE COEUR, MO 63141-6739
(314) 991-2090
(314) 991-7712
Mailing address
633 EMERSON RD STE 140, CREVE COEUR, MO 63141-6739
(314) 991-2090
(314) 991-7712
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
10/14/2024
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