Provider First Line Business Practice Location Address:
3550 MCKELVEY ROAD
Provider Second Line Business Practice Location Address:
PREMIER SURGERY CENTER
Provider Business Practice Location Address City Name:
BRIDGETOWN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-741-0911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2016