Organization · Type 2 NPI

ST Joseph Specialty Clinic PC

Surgery Physician · Bethany, MO

NPI number 1962424895 Active

Practice location

2600 Miller St
Bethany, MO 64424-2701

Mailing address

PO Box 8657
St. Joseph, MO 64508-8657

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X112862 (MO)

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…

12 other providers at this address

About NPI 1962424895

ST Joseph Specialty Clinic PC's National Provider Identifier is 1962424895, issued on Jul 23, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Bethany, MO. The record was last updated on Jan 4, 2023.