St Louis University

NPI #1043439672 in St Louis, Missouri

Provider Information

NPI Number: 1043439672
Entity Type: Organization
Organization Name: St Louis University
Primary Specialty: Colon & Rectal Surgery
Enumeration Date: Apr 24, 2007
Last Updated: Sep 21, 2021

Practice Location

Address: 1225 SOUTH GRAND
Address 2: 2L DOOR 1
City: St Louis
State: Missouri
ZIP Code: 63104-6310
Phone: (314) 977-6125

Authorized Official

Name: ALYCE LANXON
Title: EXECUTIVE DIRECTOR
Phone: (314) 977-6828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Colon & Rectal Surgery	208C00000X	Primary

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