STL SURGICAL LLC NPI 1750896635

NPI Information

NPI: 1750896635
Provider Name: STL SURGICAL LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
12184 NATURAL BRIDGE RD
BRIDGETON, MO
ZIP 63044
Phone: (314) 481-3037
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STL SURGICAL LLC is an ambulatory surgical clinic center in Bridgeton, MO. STL SURGICAL LLC NPI is 1750896635. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12184 NATURAL BRIDGE RD
BRIDGETON, MO
ZIP 63044-017
Phone: (314) 481-3037

The provider's authorized official is Kristen Brannon .
The authorized official title is Administrator and has the following contact phone number (502) 303-0919.

The enumeration date for this NPI number is 12/13/2017 and was last updated on 2/13/2019.

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	208VP0014X	Pain Medicine	Interventional Pain Medicine			No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			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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