Provider Demographics
NPI:1760869093
Name:ORTHOPEDIC AMBULATORY SURGERY CENTER OF CHESTERFIELD, LLC
Entity Type:Organization
Organization Name:ORTHOPEDIC AMBULATORY SURGERY CENTER OF CHESTERFIELD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-898-4702
Mailing Address - Street 1:760 OFFICE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7105
Mailing Address - Country:US
Mailing Address - Phone:314-328-7648
Mailing Address - Fax:314-350-2225
Practice Address - Street 1:760 OFFICE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7105
Practice Address - Country:US
Practice Address - Phone:314-328-7648
Practice Address - Fax:314-350-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical