Blue Valley Surgical Associates, LLC

NPI #1275916934 in O Fallon, Missouri

Provider Information

NPI Number
1275916934
Entity Type
Organization
Organization Name
Blue Valley Surgical Associates, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jun 30, 2015
Last Updated
Jun 30, 2015

Practice Location

Address
2341 HIGHWAY K
Address 2
SUITE 214
ZIP Code
63368-8604
Phone
(636) 542-6020

Authorized Official

Name
DOUGLAS PALZER
Title
OWNWE-CEO
Phone
(913) 428-4723

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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