St. Louis Surgical Doctors Group, LLC

NPI #1891941712 in Saint Louis, Missouri

Provider Information

NPI Number: 1891941712
Entity Type: Organization
Organization Name: St. Louis Surgical Doctors Group, LLC
Primary Specialty: Surgery
Enumeration Date: Aug 12, 2008
Last Updated: Aug 12, 2008

Practice Location

Address: 3535 S JEFFERSON AVE
Address 2: STE 201
City: Saint Louis
State: Missouri
ZIP Code: 63118-3930
Phone: (314) 577-5778

Authorized Official

Name: ANIL SRIVASTAVA
Title: OWNER
Phone: (314) 508-1152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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