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General NPI Number Information
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NPI Number | 1548125008
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Entity Type | Organization
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Legal Business Name | SAINT LOUIS SURGICAL LLC
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 6400 CLAYTON RD STE 303
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1850
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Country | US
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Telephone | 314-488-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 7452 AMHERST AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63130-2933
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Country | US
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Telephone | 314-488-0300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA MOHRMAN
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Credential | MD
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Telephone | 314-488-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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