Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Saint Louis University Hospital- Dept of Neurosurgery

Organization Neurological Surgery Physician · NPI 1710204995

Saint Louis University Hospital- Dept of Neurosurgery is a Neurological Surgery Physician in Saint Louis, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

3655 Vista Ave
Saint Louis, MO 63110-2539
Phone: (314) 977-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3635 Vista Ave, Saint Louis, MO 63110-2539 — (314) 577-8849

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Neurological Surgery Physician Taxonomy 207T00000X · Licence 2010003185 (MO)

Record details

NPI number1710204995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alyce Lanxon — Executive Director · (314) 977-6828
NPI enumeratedApril 27, 2010
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address3545 Lindell Blvd Fl 3, Saint Louis, MO 63103-1020

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