NPI:
1568874832
Provider Name:
LASER SPINE SURGERY CENTER OF ST. LOUIS, LLC
Former Legal Business Name: LASER SPINE SURGERY CENTER OF MISSOURI, LLC
Classification:
Clinic/Center - 261QA1903X
Entity Type:
Organization
Specialization: Ambulatory Surgical
Address:
450 N NEW BALLAS RD
CREVE COEUR, MO
ZIP 63141
Phone:
(314) 930-2693
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LASER SPINE SURGERY CENTER OF ST. LOUIS, LLC is an ambulatory surgical clinic center in Creve Coeur, MO. LASER SPINE SURGERY CENTER OF ST. LOUIS, LLC NPI is 1568874832. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Laser Spine Surgery Center Of Missouri, Llc.
The provider's business location address is:
450 N NEW BALLAS RD
CREVE COEUR, MO
ZIP 63141-835
Phone: (314) 930-2693
Fax: (484) 253-1790
The provider's authorized official is Michael W Perry .
The authorized official title is Medical Director and has the following contact phone number (813) 289-9613.
The enumeration date for this NPI number is 5/21/2014 and was last updated on 1/12/2017.