| NPI | 1538181466 |
|---|---|
| Former Legal Business Name | ST. JOHN'S MERCY CARDIOVASCULAR AND THORACIC SURGERY ASSOCIATES LLC |
| Entity Type | Organization |
| Authorized Contact | KERRY DUNGER Executive Director Finance 314-364-3707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2025-04-28 |