RIVERSIDE AMBULATORY SURGERY CENTER, LLC

HAZELWOOD, MO
NPI1790132322
Doing Business AsTHE ENDOSCOPY & COLONOSCOPY CENTER
Entity TypeOrganization
Authorized ContactJENETHA D MORAN
Officer / Authorized Official
972-763-3893
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2016-05-24
Last Update Date2016-05-24
Business Address
RIVERSIDE AMBULATORY SURGERY CENTER, LLC
100 VILLAGE SQ
HAZELWOOD, MO 63042-1820
Phone number: 314-373-8931
Mailing Address
RIVERSIDE AMBULATORY SURGERY CENTER, LLC
15305 DALLAS PKWY #1600
ADDISON, TX 75001-4637
Phone number: 972-763-3893