Organization
ST. CHARLES SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ANDREW CLEVER M.D. (MEMBER)
(636) 946-6986
Entity
Organization
Contact information
Practice address
3501 HARRY S. TRUMAN BLVD., ST. CHARLES, MO 63301
(111) 111-1111
Mailing address
3501 HARRY S. TRUMAN BLVD., ST. CHARLES, MO 63301
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
11/29/2011
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