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Organization

ST. LOUIS SURGICAL DOCTORS GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANIL SRIVASTAVA (OWNER)
(314) 508-1152
Entity
Organization

Contact information

Practice address
3535 S JEFFERSON AVE, STE 201, SAINT LOUIS, MO 63118-3930
(314) 577-5778
Mailing address
548 CLAYMONT PLACE DR, BALLWIN, MO 63011-2553

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
08/12/2008
Last updated
08/12/2008
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