Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Parkside Surgery and Medicine

Organization Surgery Physician · NPI 1497944094

Parkside Surgery and Medicine is a Surgery Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

6125 Clayton Ave Ste 430
Saint Louis, MO 63139-3265
Phone: (314) 768-3634
Fax: (314) 768-3638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence R5845 (MO)

Record details

NPI number1497944094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julian Mosley — General Surgeon/Owner · (314) 768-3634
NPI enumeratedOctober 18, 2007
Last updated in NPPESOctober 18, 2007
Mailing address6125 Clayton Ave, Suite 430, Saint Louis, MO 63139-3265

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