in Saint Louis - Orthopaedic Surgery

- NPI 1487606810

is a Orthopaedic Surgery in Saint Louis, Missouri. practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for is 1487606810. The last update date is .

's current location address is 12152 Tesson Ferry Rd, Saint Louis, Missouri. You can contact this provider via phone number 3148495414 and fax number 3148492042. The mailing address for is 12152 Tesson Ferry Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 12152 Tesson Ferry Rd, Saint Louis, Missouri
Phone Number 3148495414
Fax Number 3148492042
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1487606810
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 12152 Tesson Ferry Rd
City Saint Louis
State Missouri (MO)
Post Code 6312817260
Phone Number 3148495414
Fax Number 3148492042

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 108954
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
133769 MO GROUP HEALTH PLAN
P00023249 MO RAILROAD MEDICARE
901359 MO UNITED HEALTHCARE
141956 MO HEALTHLINK
177003 MO BLUE CROSS BLUE SHIELD
3931797 MO CIGNA
7641235 MO AETNA

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