PARKSIDE SURGERY AND MEDICINE
Radiology at Clayton Ave, Saint Louis, MO

License number
Missouri R5845
Category
Radiology
Type
Surgery
Owner
Name: JULIAN C MOSLEY JR. M.D.
Title: GENERAL SURGEON/OWNER
Phone: (314) 768-3634
Address
Address
6125 Clayton Ave SUITE 430, Saint Louis, MO 63139
National Provider ID: 1497944094
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Parkside Surgery and Medicine, Inc

5621 Delmar Blvd SUITE 108B, Saint Louis, MO 63112

Registration:
Aug 16, 2007
State ID:
00836637
Business type:
Gen. Business - For Profit
Expiration:
Perpetual
Agent:
Carl J Lumley,130 S  Bemiston, Saint Louis, MO 63105 (Physical)

Parkside Surgery and Medicine

6125 Clayton Ave, Saint Louis, MO 63139

Status:
Inactive
Industry:
Medical Doctor's Office
Medical Assistants:
Gloria Taylor Receptionist Secretary, inactive,Rita Stifler Manager, inactive,Julian C. Mosley Medical Doctor, Owner, Principal, Surgeon, inactive,...

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