North St Louis County General Surgery INC

NPI #1306926761 in Florissant, Missouri

Provider Information

NPI Number: 1306926761
Entity Type: Organization
Organization Name: North St Louis County General Surgery INC
Primary Specialty: Surgery
Enumeration Date: Oct 17, 2006
Last Updated: Apr 29, 2011

Practice Location

Address: 11115 NEW HALLS FERRY RD
Address 2: SUITE 303
City: Florissant
State: Missouri
ZIP Code: 63033-7613
Phone: (314) 838-5600

Authorized Official

Name: DR. MARIANO NORIEGA FLORO JR., M.D.
Title: PRESIDENT
Phone: (314) 838-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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