Archway Lithotripsy, Llc

NPI 1003028754 - Contractor - 171W00000X

NPI Details
NPI 1003028754
Enumeration Date 05/04/2007
Last Updated 04/15/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VINCENT G VINCENT
Position PRESIDENT
Phone (636) 939-6633
Fax
Practice Location
85 JASON CT
SAINT CHARLES MO, 63304-1233, US
Phone (636) 939-6633
Fax
Business Location
85 JASON CT
SAINT CHARLES MO, 63304-1233, US
Phone (636) 939-6633
Fax
Toxanomy
Taxonomy Code 171W00000X
License State
License Number
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According to our database, Archway Lithotripsy, Llc NPI is 1003028754, taxonomy code is 171W00000X Archway Lithotripsy, Llc physically located at 85 Jason Ct, Saint Charles MO, 63304-1233. NPI Number 1033115704 has the healthcare provider type.

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1003028754 NPI number is provided on an as is basis without warranty of any kind. 1003028754 is maintained by the National Plan & Provider Enumeration System. The contents of Archway Lithotripsy, Llc are for informational purposes only.