institution
Endoscopy Center Of St. Louis, Llc
Endoscopy Clinic/Center in Des Peres, Missouri
NPI 1427273440

Endoscopy Center Of St. Louis, Llc is a Endoscopy Clinic/Center based in Lake Saint Louis, MO and is specialized in Endoscopy. Endoscopy Center Of St. Louis, Llc practices in Des Peres, MO. The NPI Number for Endoscopy Center Of St. Louis, Llc is 1427273440 and holds a License No. (Missouri).

The current practice location address for Endoscopy Center Of St. Louis, Llc is 12990 Manchester Rd, Des Peres, MO and can be reached out via phone at 314-984-0550 and via fax at 314-984-0501.

Location: 12990 Manchester Rd, Des Peres, MO, 63367-2949
institution
Provider Profile Details
NPI Number
1427273440
Provider Name
Endoscopy Center Of St. Louis, Llc
Credential
Provider Entity Type
Organization
Address
12990 Manchester Rd, Des Peres, MO, 63367-2949
Phone Number
314-984-0550
Fax Number
314-984-0501
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00214935 01 MO RR MEDICARE
195965 01 MO BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
12990 Manchester Rd
City
State
Zip
63131-1804
Phone Number
314-984-0550
Fax Number
314-984-0501
person
Provider Business Mailing Address Details
Address
12990 Manchester Rd
City
State
Zip
63131-1804
Phone Number
314-984-0550
Fax Number
314-984-0501
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Endoscopy
Taxonomy
License No.
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Definition
Definition to come...
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