Organization · Type 2 NPI

Square One Surgical Associates

Surgical Physician Assistant · Chesterfield, MO

NPI number 1366183097 Active

Practice location

15524 Golden Ridge Ct
Chesterfield, MO 63017-5124

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XNone listed
Surgical Assistant 246ZC0007XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1366183097

Square One Surgical Associates's National Provider Identifier is 1366183097, issued on Apr 5, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chesterfield, MO. The record was last updated on May 6, 2022.