Novamed Eye Surgery Center Of North County LLC
Nurse Anesthetist, Certified Registered in Saint Louis, MO. Organization (NPI-2).
NPI number1003260100
StatusActive
Last updated in NPPESFeb 8, 2023
Details
- NPI
- 1003260100
- Entity type
- Organization (NPI-2)
- Legal business name
- Novamed Eye Surgery Center Of North County LLC
- Organization subpart
- No
- Enumeration date
- Apr 15, 2016
- Certification date
- Feb 8, 2023
- Last updated
- Feb 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Other names
- Woodcrest Surgery Center (Doing Business As)
Practice location
12101 Woodcrest Executive DrSuite 101
Saint Louis, MO 63141-5047
Phone 314-838-0321 · Fax 314-838-6532
Mailing address
12101 Woodcrest Executive DrSuite 101
Saint Louis, MO 63141-5047
Phone 314-838-0321 · Fax 314-838-6532
Authorized official
Jennifer Boyd Baldock
Officer And Authorized Offical
6152345954
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