North Campus Surgery Center LLC
NPI #1073997144 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1073997144
- Entity Type
- Organization
- Organization Name
- North Campus Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 17, 2015
- Last Updated
- Aug 13, 2019
Practice Location
- Address
- 633 EMERSON RD
- Address 2
- #120
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-6739
- Phone
- (314) 991-9922
Authorized Official
- Name
- JENETHA D MORAN
- Title
- OFFICER/AUTHORIZED OFFICIAL
- Phone
- (972) 763-3893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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