Olive Ambulatory Surgery Center, LLC
NPI #1972845923 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1972845923
- Entity Type
- Organization
- Organization Name
- Olive Ambulatory Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 17, 2013
- Last Updated
- Sep 19, 2024
Practice Location
- Address
- 633 EMERSON RD
- Address 2
- SUITE 140
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-6739
- Phone
- (314) 991-9922
Authorized Official
- Name
- CHRIS HARTSHORN
- Title
- OFFICER/AUTHORIZED OFFICIAL
- Phone
- (314) 800-2017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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