NPI 1417817610

Urology of St. Louis, INC.

Organisation Specialist Saint Peters, MO

Practice location

Address: 112 Piper Hill Dr STE 3, Saint Peters, MO 63376-1690
Phone: (314) 806-1770
Fax: (314) 558-9017
Mailing address: 12855 N 40 Dr STE 375, Saint Louis, MO 63141-8657

Authorised official

Name: Angie Smith
Title: Credentialing Manager
Phone: (314) 336-5062

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1417817610
Entity type: Organization
NPI issued: 12 Nov 2025
Record last updated: 12 Nov 2025

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.