Dr ALYSSA D FAJARDO is a female medical professional, specializing in Colorectal Surgery (proctology). She graduated in 2005 from Indiana University School Of Medicine.
MISSOURI BAPTIST PHYSICIAN SERVICES LLC
555 N NEW BALLAS RD
265 SUBURBAN SURGICAL
ST LOUIS
MO
631416886
Tel: 3149914644
| Npi | 1659698058 |
| Pac Id | 5395975171 |
| Professional Enrollment Id | I20180808000752 |
| Last Name | FAJARDO |
| First Name | ALYSSA |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialty 1 | GENERAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL SURGERY |
| Organization Legal Name | MISSOURI BAPTIST PHYSICIAN SERVICES LLC |
| Group Practice Pac Id | 0446294342 |
| Number Of Group Practice Members | 28 |
| Line 1 Street Address | 555 N NEW BALLAS RD |
| Line 2 Street Address | 265 SUBURBAN SURGICAL |
| Marker Of Address Line 2 Suppression | |
| City | ST LOUIS |
| State | MO |
| Zip Code | 631416886 |
| Phone Number | 3149914644 |
| Hospital Affiliation Ccn 1 | 260108 |
| Hospital Affiliation Lbn 1 | MISSOURI BAPTIST MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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