| NPI | 1396782553 |
|---|---|
| Doing Business As | THE SURGERY CENTER AT ST. JOSEPH MEDICAL PARK |
| Entity Type | Organization |
| Authorized Contact | STEVEN JOHNSON President 314-989-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-12-22 |