Mattis Road Surgery Center LLC
NPI #1720969504 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1720969504
- Entity Type
- Organization
- Organization Name
- Mattis Road Surgery Center LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Sep 9, 2025
- Last Updated
- Sep 9, 2025
Practice Location
- Address
- 5139 MATTIS RD STE 100
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63128-2250
- Phone
- (314) 952-8001
Authorized Official
- Name
- JOHN KESSLER
- Title
- ADMINISTRATOR
- Phone
- (314) 952-8001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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