Outpatient Surgery Services

NPI #1710009550 in O Fallon, Missouri

Provider Information

NPI Number: 1710009550
Entity Type: Organization
Organization Name: Outpatient Surgery Services
Primary Specialty: Surgery
Enumeration Date: Apr 4, 2007
Last Updated: Nov 6, 2007

Practice Location

Address: 830 WATERBURY FALLS DR
City: O Fallon
State: Missouri
ZIP Code: 63368-2215
Phone: (636) 730-3000

Authorized Official

Name: DR. ANTHONY E SUDEKUM, M.D.
Title: PHYSICIAN
Phone: (636) 730-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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