Jeffrey S Boberg Dpm Llc in Bridgeton - Foot & Ankle Surgery
Jeffrey S Boberg Dpm Llc - NPI 1639280290
Jeffrey S Boberg Dpm Llc is a Foot & Ankle Surgery in Bridgeton, Missouri. Jeffrey S Boberg Dpm Llc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jeffrey S Boberg Dpm Llc is 1639280290. The last update date is 2009-11-23.
Jeffrey S Boberg Dpm Llc's current location address is 12255 De Paul Dr, Bridgeton, Missouri. You can contact this provider via phone number 3147397100 and fax number 3147393199. The mailing address for Jeffrey S Boberg Dpm Llc is 12255 De Paul Dr, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeffrey S Boberg Dpm Llc |
|---|---|
| Address | 12255 De Paul Dr, Bridgeton, Missouri |
| Phone Number | 3147397100 |
| Fax Number | 3147393199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Boberg S Jeffrey |
| Credentials | DPM |
| Telephone Number | 3147397100 |
NPI Number Detail
| NPI Number | 1639280290 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2009-11-23 |
Provider Mailing Address Detail
| Address | 12255 De Paul Dr |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442510 |
| Phone Number | 3147397100 |
| Fax Number | 3147393199 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 16005217 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500008107 | MO | -- | |
| DC4793 | IL | RAILROAD MEDICARE | |
| DA9953 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Jeffrey S Boberg Dpm Llc's 1639280290?
The Jeffrey S Boberg Dpm Llc's NPI (National Provider Identifier) Number is 1639280290. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jeffrey S Boberg Dpm Llc's physical address?
The Jeffrey S Boberg Dpm Llc is physically located at 12255 De Paul Dr, in the city of Bridgeton, MO, with the postal code 630442510.
What is Jeffrey S Boberg Dpm Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey S Boberg Dpm Llc's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
On what date did Jeffrey S Boberg Dpm Llc receive its 1639280290 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey S Boberg Dpm Llc was assigned its 1639280290 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jeffrey S Boberg Dpm Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey S Boberg Dpm Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-11-23.
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