Organization · Type 2 NPI

ST Louis University

Vascular Surgery Physician · St. Louis, MO

NPI number 1982824231 Active

Practice location

1225 South Grand, 2L, Door 1
St. Louis, MO 63104

Call (314) 977-4440 Map

Mailing address

3545 Lindell Blvd Fl 3
St. Louis, MO 63103-1020

Other practice locations

3660 Vista Ave, St. Louis, MO 63110-2540 · (314) 977-6125

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

2 other providers at this address

Other vascular surgery physician providers in St. Louis

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NPI record

NPI: 1982824231
Entity type: Organization (Type 2)
Issued: Apr 27, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Dept of Surgery-Vascular Surgery · doing business as
Slucare Dept of Surgery-Vascular Surgery · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

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About NPI 1982824231

ST Louis University's National Provider Identifier is 1982824231, issued on Apr 27, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.