Healthcare Provider Details

I. General information

NPI: 1083733232
Provider Name (Legal Business Name): HAND SURGERY ASSOCIATES P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10004 KENNERLY RD SUITE 259B
SAINT LOUIS MO
63128-2141
US

IV. Provider business mailing address

10004 KENNERLY RD SUITE 259B
SAINT LOUIS MO
63128-2141
US

V. Phone/Fax

Practice location:
  • Phone: 314-842-2200
  • Fax: 314-842-4385
Mailing address:
  • Phone: 314-842-2200
  • Fax: 314-842-4385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberR3F82
License Number StateMO

VIII. Authorized Official

Name: DR. BRUCE S SCHLAFLY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 314-842-2200