Organization
ST JOSEPH CENTER FOR OUTPATIENT SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA EDWARDS (ADMINISTRATOR)
(816) 364-9992
Entity
Organization
Contact information
Practice address
4510 FREDERICK AVE, SAINT JOSEPH, MO 64506-3238
(816) 364-9992
(816) 364-9996
Mailing address
4510 FREDERICK AVE, SAINT JOSEPH, MO 64506-3238
(816) 364-9992
(816) 364-9996
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1332
MO
Other
Enumeration date
04/12/2006
Last updated
04/29/2025
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