NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC NPI 1053687079

NPI Information

NPI: 1053687079
Provider Name: NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
621 S NEW BALLAS RD
SUITE 297A
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6364
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NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC is a surgical physician assistant in Saint Louis, MO. NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC NPI is 1053687079. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 297A
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-6364
Fax: (314) 251-7897

The provider's authorized official is Angela Rose Genisio .
The authorized official title is Pa-c and has the following contact phone number (314) 251-6364.

The enumeration date for this NPI number is 3/23/2012 and was last updated on 11/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	2012027914	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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