Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1336649565 |
| LBN Legal business name | ADVANCED SURGICAL CARE OF ST. LOUIS, LLC |
| Authorized official | CHRISTOPHER HARTSHORN - (OFFICER/AUTHORIZED OFFICIAL) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/14/2018 |
| Last updated | 06/08/2021 - About 5 years ago |
| Identifiers | n/a |
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