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 | |
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Address | 12152 Tesson Ferry Rd, Saint Louis, Missouri |
Phone Number | 3148495414 |
Fax Number | 3148492042 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1487606810 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 12152 Tesson Ferry Rd |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 6312817260 |
Phone Number | 3148495414 |
Fax Number | 3148492042 |
Provider's Primary Taxonomy Detail
Speciality | Orthopaedic Surgery |
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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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