NPI | 1932719754 |
---|---|
Former Legal Business Name | IPS SURGERY CENTER, LLC |
Former Legal Business Name | RESTORATIVE SURGERY CENTER, LLC |
Former Legal Business Name | RESTORATIVE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | GREGORY A STYNOWICK Medical Director 314-741-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2020-08-06 |
Last Update Date | 2021-06-01 |