Olive Surgical Group, Ltd.

NPI 1275648438 - Specialist - 174400000X

NPI Details
NPI 1275648438
Enumeration Date 08/20/2006
Last Updated 12/18/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ELLEN JANE ELLEN
Position OFFICE MANAGER
Phone (314) 699-9818
Fax (314) 699-9868
Practice Location
11605 STUDT AVE
SUITE ONE
SAINT LOUIS MO, 63141-7052, US
Phone (314) 699-9818
Fax (314) 699-9868
Business Location
11605 STUDT AVE
SUITE ONE
SAINT LOUIS MO, 63141-7052, US
Phone (314) 699-9818
Fax (314) 699-9868
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Olive Surgical Group, Ltd. NPI is 1275648438, taxonomy code is 174400000X Olive Surgical Group, Ltd. physically located at 11605 Studt Ave, Saint Louis MO, 63141-7052. NPI Number 1033115704 has the healthcare provider type.

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1275648438 NPI number is provided on an as is basis without warranty of any kind. 1275648438 is maintained by the National Plan & Provider Enumeration System. The contents of Olive Surgical Group, Ltd. are for informational purposes only.