institution
Endoscopy Center Of St. Louis
Endoscopy Clinic/Center in Lake Saint Louis, Missouri
NPI 1023094836

Endoscopy Center Of St. Louis is a Endoscopy Clinic/Center based in Lake Saint Louis, MO and is specialized in Endoscopy. Endoscopy Center Of St. Louis practices in Lake Saint Louis, MO. The NPI Number for Endoscopy Center Of St. Louis is 1023094836 and holds a License No. 152-0 (Missouri).

The current practice location address for Endoscopy Center Of St. Louis is 200 Brevco Plaza, Lake Saint Louis, MO and can be reached out via phone at 636-561-5450 and via fax at 636-561-5451.

Location: 200 Brevco Plaza, Lake Saint Louis, MO, 63367-2947
institution
Provider Profile Details
NPI Number
1023094836
Provider Name
Endoscopy Center Of St. Louis
Credential
Provider Entity Type
Organization
Address
200 Brevco Plaza, Lake Saint Louis, MO, 63367-2947
Phone Number
636-561-5450
Fax Number
636-561-5451
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00214935 01 MO RAIL ROAD MEDICARE
195965 01 MO BCBS
institution
Provider Business Practice Location Address Details
Address
200 Brevco Plaza
City
State
Zip
63367
Phone Number
636-561-5450
Fax Number
636-561-5451
person
Provider Business Mailing Address Details
Address
200 Brevco Plaza
City
State
Zip
63367
Phone Number
636-561-5450
Fax Number
636-561-5451
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Endoscopy
Taxonomy
License No.
152-0 (Missouri)
Definition
Definition to come...
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