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NPI Code Detail

MEDICARE: SURGERY CENTER PARTNERS. LLC

MEDICARE: SURGERY CENTER PARTNERS. LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center146-1MO

General Provider Information

NPI Number : 1346292372
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURGERY CENTER PARTNERS. LLC
Provider Business Mailing Address
First Line : 14825 N OUTER 40
Second Line : STE 100
City : CHESTERFIELD
State : MO
Zip : 63017-2026
Country : US
Telephone Number : 636-898-4695
Fax Number : 636-898-4700
Provider Business Practice Location Address
First Line : 14825 N OUTER 40
Second Line : STE 100
City : CHESTERFIELD
State : MO
Zip : 63017-2026
Country : US
Telephone Number : 636-898-4695
Fax Number : 636-898-4700
Authorized Official
Title or Position : OFFICER AND AUTHORIZED OFFICIAL
Name : JENNIFER BOYD BALDOCK
Credential :
Telephone Number : 615-234-5954
Provider Enumeration Date : 05/17/2006
Last Update Date : 11/02/2022

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Directions to “SURGERY CENTER PARTNERS. LLC ” Practice Location

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