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West County Surgicalspecialist
Specialist in Saint Louis, Missouri
NPI 1437146784

West County Surgicalspecialist is a Specialist based in Saint Louis, MO. West County Surgicalspecialist practices in Saint Louis, MO. The NPI Number for West County Surgicalspecialist is 1437146784 and holds a License No. (Missouri).

The current practice location address for West County Surgicalspecialist is 621 S New Ballas Rd, Saint Louis, MO and can be reached out via phone at 314-251-6840 and via fax at 314-251-7249.

Location: 621 S New Ballas Rd, Saint Louis, MO, 63141-8232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437146784
Provider Name
West County Surgicalspecialist
Credential
Provider Entity Type
Organization
Address
621 S New Ballas Rd, Saint Louis, MO, 63141-8232
Phone Number
314-251-6840
Fax Number
314-251-7249
Provider Enumeration Date
10/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CQ2324 01 MO RAILROAD MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
621 S New Ballas Rd
City
Saint Louis
State
Missouri
Zip
63141-8232
Phone Number
314-251-6840
Fax Number
314-251-7249
person
Provider Business Mailing Address Details
Address
621 S New Ballas Rd
City
Saint Louis
State
Missouri
Zip
63141-8232
Phone Number
314-251-6840
Fax Number
314-251-7249
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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