Organization · Type 2 NPI
Healthmark Gravois LLC
Ambulatory Surgical Clinic/Center · St. Louis, MO
NPI number
1699824987
Active
Practice location
9701 Landmark Parkway Dr Ste 102
St. Louis, MO 63127-1665
Fax (314) 822-8476
Mailing address
11600 Manchester Rd Ste 1O1
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...
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About NPI 1699824987
Healthmark Gravois LLC's National Provider Identifier is 1699824987, 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.