Olive Ambulatory Surgery Center, LLC
NPI #1871032680 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1871032680
- Entity Type
- Organization
- Organization Name
- Olive Ambulatory Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 14, 2017
- Last Updated
- Oct 14, 2024
Practice Location
- Address
- 633 EMERSON RD
- Address 2
- SUITE #120
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-6739
- Phone
- (314) 991-2090
Authorized Official
- Name
- CHRISTOPHER HARTSHORN
- Title
- OFFICER / AUTHORIZED OFFICIAL
- Phone
- (314) 800-2017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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