Pruett Surgical Associates, Llc

LBN: Pruett Surgical Associates, Llc
Pruett Surgical Associates, Llc is an health care organization with primary practice located at 3009 N Ballas Rd 132A, Saint Louis MO 63131-2322. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pruett Surgical Associates, Llc can be contacted via phone (314) 995-6999, or through Parciak, Tracy J via phone (314) 432-2580.

Contact Information

Primary practice address
3009 N Ballas Rd 132A Saint Louis MO 63131-2322
Phone: (314) 995-6999
Fax: (314) 995-7064
Website:
Map and Directions
Authorized official contact:
Name: Parciak, Tracy J
Phone: (314) 432-2580

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2002008093 Missouri
Other Service Providers / Specialist 174400000X 27599 Missouri

Profile Details

NPI number 1568403079
LBN Legal business name Pruett Surgical Associates, Llc
DBA Doing business as
Authorized official Parciak, Tracy J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Sep 24th, 2008 - about 18 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 1568403079 NPPES
Missouri Other DA 2337 RR MCR GROUP PROV#
Missouri Other 142447 RR MCR GROUP PROV#

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