Organization · Type 2 NPI
Healthmark Ballas LLC
Ambulatory Surgical Clinic/Center · St. Louis, MO
NPI number
1619026952
Active
Practice location
456 N New Ballas Rd Ste 266
St. Louis, MO 63141-6842
Fax (314) 373-7003
Mailing address
11600 Manchester Rd Ste 101
St. Louis, MO 63131-4691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1619026952
Healthmark Ballas LLC's National Provider Identifier is 1619026952, issued on Jan 9, 2007. 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 22, 2020.