| NPI | 1477246312 |
|---|---|
| Doing Business As | ST. LOUIS VASCULAR SURGERY SPECIALISTS |
| Doing Business As | ST. LOUIS LIMB PRESERVATION CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT IVAN HACKER CEO Owner 314-755-1084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-11-16 |