Parkside Surgery And Medicine

LBN: Parkside Surgery And Medicine
Parkside Surgery And Medicine is an health care organization with primary practice located at 6125 Clayton Ave Suite 430, Saint Louis MO 63139-3265. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Parkside Surgery And Medicine can be contacted via phone (314) 768-3634, or through Mosley, Julian C via phone (314) 768-3634.

Contact Information

Primary practice address
6125 Clayton Ave Suite 430 Saint Louis MO 63139-3265
Phone: (314) 768-3634
Fax: (314) 768-3638
Website:
Map and Directions
Authorized official contact:
Name: Mosley, Julian C Doctor of Medicine (MD)
Phone: (314) 768-3634

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R5845 Missouri

Profile Details

NPI number 1497944094
LBN Legal business name Parkside Surgery And Medicine
DBA Doing business as
Authorized official Mosley, Julian C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2007
Last updated Oct 18th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497944094 NPPES
Missouri Other 197390 BCBS MO

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