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1174615710
SOUTH COUNTY SURGICAL SERVICES, LLC
SAINT LOUIS, MO
NPI
1174615710
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Entity Type
Organization
Authorized Contact
TRACY PARCIAK
Office Manager
314-432-2580
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: MO R6D37)
Enumeration Date
2006-09-29
Last Update Date
2008-09-18
Business Address
SOUTH COUNTY SURGICAL SERVICES, LLC
10004 KENNERLY RD SUITE 137A
SAINT LOUIS, MO 63128-2141
Phone number: 314-525-4740
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Mailing Address
SOUTH COUNTY SURGICAL SERVICES, LLC
PO BOX 1209
MARYLAND HEIGHTS, MO 63043-0209
Phone number: 314-432-2580
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