WOODLAKE PODIATRY NPI 1982069233

NPI Information

WOODLAKE PODIATRY is a foot and ankle surgery podiatrist in Chesterfield, MO. WOODLAKE PODIATRY NPI is 1982069233. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1585 WOODLAKE DR
200
CHESTERFIELD, MO
ZIP 63017-740
Phone: (314) 434-7430
Fax: (314) 434-8768

The provider's authorized official is Howard Jaffe .
The authorized official title is Owner/podiatrist and has the following contact phone number (314) 434-7430.

The enumeration date for this NPI number is 12/30/2015 and was last updated on 12/30/2015.

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:

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