Organization
MISSOURI HEART AND VASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHASSAN A ASSI (ADMINISTRATOR)
(314) 803-4372
Entity
Organization
Contact information
Practice address
450 N NEW BALLAS RD STE 206, SAINT LOUIS, MO 63141-6835
(314) 803-4372
Mailing address
PO BOX 658, MANCHESTER, MO 63011-0958
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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