Urology of St. Louis, Inc.

NPI #1265392476 in O Fallon, Illinois

Provider Information

NPI Number: 1265392476
Entity Type: Organization
Organization Name: Urology of St. Louis, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: UROLOGY OF ST. LOUIS, INC.
Primary Specialty: Specialist
Enumeration Date: Nov 12, 2025
Last Updated: Nov 12, 2025

Practice Location

Address: 3 SAINT ELIZABETH BLVD STE 3900
City: O Fallon
State: Illinois
ZIP Code: 62269-1282
Phone: (314) 806-1770

Authorized Official

Name: ANGIE SMITH
Title: CREDENTIALING MANAGER
Phone: (314) 336-5062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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