Surgical Diagnostics & Therapy LLC

NPI #1225019318 in Saint Louis, Missouri

Provider Information

NPI Number: 1225019318
Entity Type: Organization
Organization Name: Surgical Diagnostics & Therapy LLC
Primary Specialty: Surgery
Enumeration Date: Nov 7, 2005
Last Updated: Nov 1, 2007

Practice Location

Address: 675 OLD BALLAS RD
Address 2: STE 100A
City: Saint Louis
State: Missouri
ZIP Code: 63141-7083
Phone: (314) 569-2626

Authorized Official

Name: DR. KENNETH J BENNETT, MD
Title: PRESIDENT
Phone: (314) 569-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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