Surgery Center Of St. Joseph, Llc

NPI 1104857523 - Clinic/Center - 261QA1903X

NPI Details
NPI 1104857523
Enumeration Date 07/05/2006
Last Updated 04/05/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANGELA J ANGELA
Position CLINIC DIRECTOR
Phone (816) 279-0079
Fax (816) 364-1100
Practice Location
3201 ASHLAND AVE
SAINT JOSEPH MO, 64506-1504, US
Phone (816) 279-0079
Fax (816) 364-1100
Business Location
3201 ASHLAND AVE
SAINT JOSEPH MO, 64506-1504, US
Phone (816) 279-0079
Fax (816) 901-0403
Toxanomy
Taxonomy Code 261QA1903X
License State Missouri
License Number 119-3
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According to our database, Surgery Center Of St. Joseph, Llc NPI is 1104857523, taxonomy code is 261QA1903X and license number is 119-3, license state is located at Missouri. Surgery Center Of St. Joseph, Llc physically located at 3201 Ashland Ave, Saint Joseph MO, 64506-1504. NPI Number 1033115704 has the healthcare provider type.

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1104857523 NPI number is provided on an as is basis without warranty of any kind. 1104857523 is maintained by the National Plan & Provider Enumeration System. The contents of Surgery Center Of St. Joseph, Llc are for informational purposes only.