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CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC NPI 1174595409


NPI Information

NPI: 1174595409
Provider Name: CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC

Doing Business As: MO FOOT AND ANKLE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
621 S NEW BALLAS RD
SUITE 7005B
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 991-3668
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CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC is a foot and ankle surgery podiatrist in Saint Louis, MO. CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC NPI is 1174595409. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mo Foot And Ankle.

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 7005B
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 991-3668
Fax: (314) 991-3665

The provider's authorized official is John Holtzman .
The authorized official title is Delegated Official and has the following contact phone number (314) 991-3668.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 9/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery000821MISSOURINo
2213ES0103XPodiatristFoot & Ankle Surgery2000157310MISSOURINo
3213ES0103XPodiatristFoot & Ankle Surgery000765MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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