Ryan J Pomajzl is a Sports in Bridgeton, Missouri. Ryan J Pomajzl practices all healthcare services and medical treatments related to Sports. The NPI Number for Ryan J Pomajzl is 1508889577. The last update date is 2020-11-06.
Ryan J Pomajzl's current location address is 12349 De Paul Dr Ste 100, Bridgeton, Missouri. You can contact this provider via phone number 3142917900. The mailing address for Ryan J Pomajzl is 12349 De Paul Dr Ste 100, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan J Pomajzl |
|---|---|
| Address | 12349 De Paul Dr Ste 100, Bridgeton, Missouri |
| Phone Number | 3142917900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D., P.T. |
NPI Number Detail
| NPI Number | 1508889577 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2020-11-06 |
Provider Mailing Address Detail
| Address | 12349 De Paul Dr Ste 100 |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442512 |
| Phone Number | 3142917900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | MO 200401071 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique provider identifier assigned to Ryan J Pomajzl?
The Ryan J Pomajzl has been issued the NPI (National Provider Identifier) 1508889577 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ryan J Pomajzl?
The Ryan J Pomajzl is physically situated at 12349 De Paul Dr Ste 100, in the city of Bridgeton, state of MO, with the postal code 630442512.
What is Ryan J Pomajzl's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ryan J Pomajzl's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508889577 to Ryan J Pomajzl?
The Ryan J Pomajzl received its 1508889577 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the Ryan J Pomajzl's information last updated?
The Ryan J Pomajzl's information was last updated on 2020-11-06.