Organization · Type 2 NPI
Endoscopy Center of St. Louis
Endoscopy Clinic/Center · Lake St. Louis, MO
NPI number
1023094836
Active
Practice location
200 Brevco Plaza, Suite 207
Lake St. Louis, MO 63367
Fax (636) 561-5451
Mailing address
200 Brevco Plz, Suite 207
Lake St. Louis, MO 63367-2947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endoscopy Clinic/Center Primary | 261QE0800X | 152-0 (MO) |
Endoscopy Clinic/Center: Definition to come...
About NPI 1023094836
Endoscopy Center of St. Louis's National Provider Identifier is 1023094836, issued on Dec 22, 2005. The primary taxonomy on file is Endoscopy Clinic/Center (261QE0800X), and the practice location is in Lake St. Louis, MO. The record was last updated on Nov 27, 2007.