St. Louis Spine Surgery Center, LLC
NPI #1861764771 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1861764771
- Entity Type
- Organization
- Organization Name
- St. Louis Spine Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 8, 2012
- Last Updated
- Nov 26, 2012
Practice Location
- Address
- 633 EMERSON RD
- Address 2
- SUITE 160
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-6739
- Phone
- (314) 569-2007
Authorized Official
- Name
- MR. JOHN WILSON
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (615) 301-8144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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