OrganizationActive
Manchester Surgery Center, LLC
NPI 1669574539 · Ambulatory Surgical Clinic/Center · Des Peres, MO
Provider details
- NPI number
- 1669574539
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melanie Kofron, Administrator(314) 775-2264
- License
- 163-1 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1040 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone: (314) 775-2264
Fax: (314) 775-2271
Approximate (ZIP-level) locationGet directions
Mailing address
1040 Old Des Peres Rd
Des Peres, MO 63131-1865
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.