FLORISSANT VALLEY SURGICAL SPECIALISTS NPI 1790876027

NPI Information

  • NPI: 1790876027
  • Provider Name: FLORISSANT VALLEY SURGICAL SPECIALISTS
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Organization
  • Address: 11125 DUNN RD
    SUITE 402
    SAINT LOUIS, MO
    ZIP 63136
  • Phone: (314) 741-3400

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NPI Details

FLORISSANT VALLEY SURGICAL SPECIALISTS is a colon rectal surgery in Saint Louis, MO. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. FLORISSANT VALLEY SURGICAL SPECIALISTS NPI is 1790876027. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11125 DUNN RD
SUITE 402
SAINT LOUIS, MO
ZIP 63136-132
Phone: (314) 741-3400

The provider's authorized official is Morin Hanson .
The authorized official title is Owner and has the following contact phone number (314) 741-3400.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/22/2020.

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
1208C00000XColon & Rectal Surgery105535MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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