Laser Spine Surgery Center of St. Louis, LLC
NPI #1568874832 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1568874832
- Entity Type
- Organization
- Organization Name
- Laser Spine Surgery Center of St. Louis, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LSI HOLDCO, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 21, 2014
- Last Updated
- Jan 12, 2017
Practice Location
- Address
- 450 N NEW BALLAS RD
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-6835
- Phone
- (314) 930-2693
Authorized Official
- Name
- DR. MICHAEL W PERRY, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (813) 289-9613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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