South County Surgical Services, LLC
NPI #1174615710 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1174615710
- Entity Type
- Organization
- Organization Name
- South County Surgical Services, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 29, 2006
- Last Updated
- Sep 18, 2008
Practice Location
- Address
- 10004 KENNERLY RD
- Address 2
- SUITE 137A
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63128-2141
- Phone
- (314) 525-4740
Authorized Official
- Name
- TRACY PARCIAK
- Title
- OFFICE MANAGER
- Phone
- (314) 432-2580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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