BLUE VALLEY SURGICAL ASSOCIATES LLC NPI 1275916934

NPI Information

NPI: 1275916934
Provider Name: BLUE VALLEY SURGICAL ASSOCIATES, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2341 HIGHWAY K
SUITE 214
O FALLON, MO
ZIP 63368
Phone: (636) 542-6020
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BLUE VALLEY SURGICAL ASSOCIATES, LLC is a family nurse practitioner in O Fallon, MO. BLUE VALLEY SURGICAL ASSOCIATES, LLC NPI is 1275916934. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2341 HIGHWAY K
SUITE 214
O FALLON, MO
ZIP 63368-604
Phone: (636) 542-6020

The provider's authorized official is Douglas Palzer .
The authorized official title is Ownwe-ceo and has the following contact phone number (913) 428-4723.

The enumeration date for this NPI number is 6/30/2015 and was last updated on 6/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2015020560	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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