Archway Lithotripsy, LLC
NPI #1003028754 in Saint Charles, Missouri
Provider Information
- NPI Number
- 1003028754
- Entity Type
- Organization
- Organization Name
- Archway Lithotripsy, LLC
- Primary Specialty
- Contractor
- Enumeration Date
- May 4, 2007
- Last Updated
- Apr 15, 2010
Practice Location
- Address
- 85 JASON CT
- City
- Saint Charles
- State
- Missouri
- ZIP Code
- 63304-1233
- Phone
- (636) 939-6633
Authorized Official
- Name
- MR. VINCENT G LANDECK, RT (R) CLS
- Title
- PRESIDENT
- Phone
- (636) 939-6633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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