Parkside Surgery and Medicine

NPI #1497944094 in Saint Louis, Missouri

Provider Information

NPI Number: 1497944094
Entity Type: Organization
Organization Name: Parkside Surgery and Medicine
Primary Specialty: Surgery
Enumeration Date: Oct 18, 2007
Last Updated: Oct 18, 2007

Practice Location

Address: 6125 CLAYTON AVE
Address 2: SUITE 430
City: Saint Louis
State: Missouri
ZIP Code: 63139-3265
Phone: (314) 768-3634

Authorized Official

Name: JULIAN C MOSLEY JR., M.D.
Title: GENERAL SURGEON/OWNER
Phone: (314) 768-3634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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