Laser Spine Institute Ll Sole Mbr
NPI #1821500505 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1821500505
- Entity Type
- Organization
- Organization Name
- Laser Spine Institute Ll Sole Mbr
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 2, 2017
- Last Updated
- Nov 2, 2017
Practice Location
- Address
- 450 N NEW BALLAS RD
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-6835
- Phone
- (813) 289-9613
Authorized Official
- Name
- DR. MICHAEL PERRY, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (813) 289-9613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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