Organization · Type 2 NPI
Neurosurgical Specialists of West County Inc
Surgical Physician Assistant · St. Louis, MO
NPI number
1053687079
Active
Practice location
621 S New Ballas Rd, Suite 297A
St. Louis, MO 63141-8232
Fax (314) 251-7897
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 2012027914 (MO) |
Surgical Physician Assistant: Definition to come...
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About NPI 1053687079
Neurosurgical Specialists of West County Inc's National Provider Identifier is 1053687079, issued on Mar 23, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Louis, MO. The record was last updated on Nov 2, 2012.