Organization · Type 2 NPI

Mattis Road Surgery Center LLC

Surgery Physician · St. Louis, MO

NPI number 1720969504 Active

Practice location

5139 Mattis Rd Ste 100
St. Louis, MO 63128-2250

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 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.