Endoscopy Center of St. Louis

NPI #1023094836 in Lake Saint Louis, Missouri

Provider Information

NPI Number
1023094836
Entity Type
Organization
Organization Name
Endoscopy Center of St. Louis
Primary Specialty
Clinic/Center - Endoscopy
Enumeration Date
Dec 22, 2005
Last Updated
Nov 27, 2007

Practice Location

Address
200 BREVCO PLAZA
Address 2
SUITE 207
ZIP Code
63367
Phone
(636) 561-5450

Authorized Official

Name
JAMES H. PETERSEN, M.D.
Title
PRESIDENT
Phone
(636) 561-5450

Specialties & Taxonomy Codes

Specialty
Clinic/Center - EndoscopyEndoscopy

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Organizations

Provider Name
Saint Louis Connectcare

Part of Saint Louis Connectcare

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