Florissant Valley Surgical Specialists

NPI 1790876027 - Colon & Rectal Surgery - 208C00000X

NPI Details
NPI 1790876027
Enumeration Date 09/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MORIN MORIN
Position OWNER
Phone (314) 741-3400
Fax
Practice Location
11125 DUNN RD
SUITE 402
SAINT LOUIS MO, 63136-6132, US
Phone (314) 741-3400
Fax
Business Location
11125 DUNN RD
SUITE 402
SAINT LOUIS MO, 63136-6132, US
Phone
Fax
Toxanomy
Taxonomy Code 208C00000X
License State Missouri
License Number 105535
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According to our database, Florissant Valley Surgical Specialists NPI is 1790876027, taxonomy code is 208C00000X and license number is 105535, license state is located at Missouri. Florissant Valley Surgical Specialists physically located at 11125 Dunn Rd, Saint Louis MO, 63136-6132. NPI Number 1033115704 has the healthcare provider type.

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1790876027 NPI number is provided on an as is basis without warranty of any kind. 1790876027 is maintained by the National Plan & Provider Enumeration System. The contents of Florissant Valley Surgical Specialists are for informational purposes only.