Organization · NPI-2

Arch Neurosurgery, LLC

Neurological Surgery · Saint Louis, MO

NPI number1649777954
StatusActive
Last updated in NPPESNov 7, 2021

Details

NPI
1649777954
Entity type
Organization (NPI-2)
Legal business name
Arch Neurosurgery, LLC
Organization subpart
No
Enumeration date
Apr 12, 2018
Certification date
Nov 7, 2021
Last updated
Nov 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery2014039596MOYes

Other names

  • Arch Neurosurgery LLC (Doing Business As)

Practice location

1034 S Brentwood Blvd Ste 754
Saint Louis, MO 63117-1207

Phone 314-732-9559 · Fax 833-244-1845

Mailing address

1034 S Brentwood Blvd Ste 754
Saint Louis, MO 63117-1207

Phone 314-973-2955 · Fax 833-244-1845

Authorized official

Joseph Yazdi
President/Owner
3149732955

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