NPI 1366039075

Vision Surgical Arts, LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Saint Louis, MO

Practice location

Address: 621 S New Ballas Rd STE 16a, Saint Louis, MO 63141-8239
Phone: (314) 251-6725

Authorised official

Name: Lacy Wilson
Title: Business Manager
Phone: (314) 251-6725

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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Registry record

NPI: 1366039075
Entity type: Organization
NPI issued: 29 Dec 2020
Record last updated: 4 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.