Midwest Urogynecology, LLC
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery in Saint Louis, MO. Organization (NPI-2).
NPI number1003280652
StatusActive
Last updated in NPPESNov 19, 2015
Details
- NPI
- 1003280652
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Urogynecology, LLC
- Organization subpart
- No
- Enumeration date
- Nov 19, 2015
- Last updated
- Nov 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VF0040X | Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | 2011012595 | MO | Yes |
Practice location
2325 Dougherty Ferry RdSuite 206
Saint Louis, MO 63122-3356
Phone 314-596-9955 · Fax 314-596-9530
Mailing address
2325 Dougherty Ferry RdSuite 206
Saint Louis, MO 63122-3356
Phone 314-596-9955
Authorized official
John P Judd
Managing Member
3145969955
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