Organization · Type 2 NPI
Mattis Road Surgery Center LLC
Surgery Physician · St. Louis, MO
Practice location
5139 Mattis Rd Ste 100
St. Louis, MO 63128-2250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | None 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 1720969504
Mattis Road Surgery Center LLC's National Provider Identifier is 1720969504, issued on Sep 9, 2025. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 9, 2025.