Local City Search for Surgeons and Surgical Clinics ADVANCED SURGERY CENTER LLC
Surgery Yellow Pages
Saint Louis, Missouri
Provider NPI: 1619965324
Organization Information:Organization Name: ADVANCED SURGERY CENTER LLC
Practice Location:
12607 OLIVE BLVD SAINT LOUIS, MO 63141 US
Tel: 314-205-1610 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
12607 OLIVE BLVD SAINT LOUIS, MO 63141 US
Tel: 314-205-1610 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | MO | 132-0 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 506126200 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
