Suburban Surgical Associates, Inc.

NPI #1699802330 in Saint Louis, Missouri

Provider Information

NPI Number
1699802330
Entity Type
Organization
Organization Name
Suburban Surgical Associates, Inc.
Primary Specialty
Surgery
Enumeration Date
Feb 28, 2007
Last Updated
Jun 30, 2010

Practice Location

Address
555 N. NEW BALLAS RD
Address 2
SUITE 265
ZIP Code
63141-6825
Phone
(314) 991-4644

Authorized Official

Name
MS. LISA M MOLLOY, MBA
Title
ADMINISTRATOR
Phone
(314) 991-4644

Specialties & Taxonomy Codes

Specialty
Surgery

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