PODIAPEDICS FOOT SURGERY & WOUND NPI 1750143210

NPI Information

NPI: 1750143210
Provider Name: PODIAPEDICS FOOT SURGERY & WOUND
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1035 BELLEVUE AVE STE 315
SAINT LOUIS, MO
ZIP 63117
Phone: (314) 473-1296
Get Directions

PODIAPEDICS FOOT SURGERY & WOUND is a foot and ankle surgery podiatrist in Saint Louis, MO. PODIAPEDICS FOOT SURGERY & WOUND NPI is 1750143210. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1035 BELLEVUE AVE STE 315
SAINT LOUIS, MO
ZIP 63117-845
Phone: (314) 473-1296
Fax: (314) 442-7766

The provider's authorized official is John Derrick Harness .
The authorized official title is Podiatrist and has the following contact phone number (314) 473-1296.

The enumeration date for this NPI number is 1/29/2024 and was last updated on 1/29/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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: 5/5/2024

NPI Synchronization or Removal

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