RESTORATIVE SURGERY CENTER LLC NPI 1932719754

NPI Information

RESTORATIVE SURGERY CENTER LLC is an ambulatory surgical clinic center in Florissant, MO. RESTORATIVE SURGERY CENTER LLC NPI is 1932719754. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ips Surgery Center, Llc.

The provider's business location address is:

6829 PARKER RD STE B
FLORISSANT, MO
ZIP 63033-308
Phone: (314) 741-2700
Fax: (314) 741-2701

The provider's authorized official is Gregory A Stynowick .
The authorized official title is Medical Director and has the following contact phone number (314) 741-2700.

The CLIA number assigned to this NPI record is 26D2194425 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2020 and was last updated on 6/1/2021.

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:

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