NPI 1578280251

Corporate Surgical Arts LLC

Organisation Phlebology Physician O Fallon, MO

Practice location

Address: 1630 Market Center Blvd STE 203, O Fallon, MO 63368-8407
Phone: (636) 397-4012

Authorised official

Name: Dawn Marie Simon
Title: Director of Business Operations
Phone: (636) 397-4012

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X

Other Phlebology providers in Missouri →

Registry record

NPI: 1578280251
Entity type: Organization
NPI issued: 24 Oct 2022
Record last updated: 24 Oct 2022

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.