Organization · Type 2 NPI
Center for Urologic Surgery LLC
Ambulatory Surgical Clinic/Center · St. Louis, MO
NPI number
1093230450
Active
Practice location
12855 N 40 Dr Ste 100
St. Louis, MO 63141
Fax (314) 594-8246
Mailing address
913 S Main St Unit 212
Grapevine, TX 76051-7582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 289-0 (MO) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1093230450
Center for Urologic Surgery LLC's National Provider Identifier is 1093230450, issued on Aug 7, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in St. Louis, MO. The record was last updated on Aug 30, 2022.