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Organization

OLIVE AMBULATORY SURGERY CENTER, LLC

Active
Other names
Emerson Road Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization

Contact information

Practice address
633 EMERSON RD, SUITE 140, CREVE COEUR, MO 63141-6739
(314) 991-9922
(314) 991-6794
Mailing address
633 EMERSON RD, SUITE 140, CREVE COEUR, MO 63141-6739
(314) 991-9922
(314) 991-6794

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
03/17/2013
Last updated
09/19/2024
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