Square One Surgical Associates
NPI #1366183097 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1366183097
- Entity Type
- Organization
- Organization Name
- Square One Surgical Associates
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Apr 5, 2022
- Last Updated
- May 6, 2022
Practice Location
- Address
- 15524 GOLDEN RIDGE CT
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63017-5124
- Phone
- (636) 346-8182
Authorized Official
- Name
- ANDREW SHERIDAN, CSFA
- Title
- CSFA
- Phone
- (636) 346-8182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
| Physician Assistant - Surgical — Surgical |
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