OrganizationActive
Cutting Edge Surgical Services, LLC
NPI 1063233583 · Surgical Physician Assistant · Saint Louis, MO
Provider details
- NPI number
- 1063233583
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- James Thacker, Rnfa(314) 724-8961
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2840 Clark Ave
Saint Louis, MO 63103-2506
Phone: (314) 949-3066
Approximate (ZIP-level) locationGet directions
Mailing address
2796 Kings Crossing Dr
Barnhart, MO 63012-1174
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.