GYNECOLOGIC & RECONSTRUCTIVE SURGERY LTD NPI 1891822326

NPI Information

GYNECOLOGIC & RECONSTRUCTIVE SURGERY, LTD is a specialist in Saint Louis, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GYNECOLOGIC & RECONSTRUCTIVE SURGERY, LTD NPI is 1891822326. 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 2002 B
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-6753
Fax: (314) 251-4492

The provider's authorized official is Dionysios K Veronikis .
The authorized official title is Owner and has the following contact phone number (314) 251-6753.

The CLIA number assigned to this NPI record is 26D1069275 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/28/2007 and was last updated on 9/30/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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