BLUE VALLEY SURGICAL ASSOCIATES, LLC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1275916934- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2341 HIGHWAY K SUITE 214, O FALLON, MO, 633688604
- Phone
- (636) 542-6020
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: MO #2015020560