Organization · Type 2 NPI

ST Louis University

Colon & Rectal Surgery Physician · St. Louis, MO

NPI number 1043439672 Active

Practice location

1225 South Grand, 2L Door 1
St. Louis, MO 63104-6310

Call (314) 977-6125 Map

Mailing address

3545 Lindell Blvd Fl 3
St. Louis, MO 63103-1020

Other practice locations

3660 Vista Ave, St. Louis, MO 63110-2540 · (314) 977-6125

Specialties and licenses

Taxonomy	Code	License
Colon & Rectal Surgery Physician Primary	208C00000X	None listed

Colon & Rectal Surgery Physician: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

10 other providers at this address

Other colon & rectal surgery physician providers in St. Louis

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NPI record

NPI: 1043439672
Entity type: Organization (Type 2)
Issued: Apr 24, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Dept of Surgery-Colon & Rectal · doing business as
Slucare Dept of Surgery-Colon & Rectal · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043439672

ST Louis University's National Provider Identifier is 1043439672, issued on Apr 24, 2007. The primary taxonomy on file is Colon & Rectal Surgery Physician (208C00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.