Advanced Spine Institute LLC
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Saint Louis, MO. Organization (NPI-2).
NPI number1396305348
StatusActive
Last updated in NPPESJun 20, 2019
Details
- NPI
- 1396305348
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Spine Institute LLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2019
- Last updated
- Jun 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | – | – | Yes |
Practice location
3009 N Ballas Rd Ste 320aSaint Louis, MO 63131-2324
Phone 314-991-7707 · Fax 314-432-2564
Mailing address
3009 N Ballas Rd Ste 320aSaint Louis, MO 63131-2324
Phone 314-991-7707 · Fax 314-432-2564
Other practice locations
3009 N Ballas Rd Ste 269c
Saint Louis, MO 63131-2339
Saint Louis, MO 63131-2339
Phone 314-743-0330 · Fax 314-743-0339
Authorized official
Lydia Lynn Thomas
Billing Director
3149917707
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