Organization · Type 2 NPI

St. Anthony's Physician Organization Private Practices LC

Surgery Physician · St. Louis, MO

NPI number 1114113388 Active

Practice location

10004 Kennerly Rd, Ste 292B
St. Louis, MO 63128-2141

Call (314) 525-1224 Map

Fax (314) 525-4957

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1114113388

St. Anthony's Physician Organization Private Practices LC's National Provider Identifier is 1114113388, issued on Sep 20, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 3, 2010.