Organization · Type 2 NPI

ST Louis University

Orthopaedic Trauma Physician · St. Louis, MO

NPI number 1114139003 Active

Practice location

1225 South Grand, 1L, Door 3,4
St. Louis, MO 63104-6310

Call (314) 257-3390 Map

Mailing address

3545 Lindell Blvd Fl 3
St. Louis, MO 63103-1020

Other practice locations

1755 S Grand Blvd, St. Louis, MO 63104-1540 · (314) 256-3850

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Trauma Physician Primary	207XX0801X	None listed

Orthopaedic Trauma Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

10 other providers at this address

Other orthopaedic trauma physician providers in St. Louis

Mercy Orthopaedic Trauma Services, LLCOrthopaedic Trauma Physician St. Louis, MO NPI 1700996022

See all in St. Louis →

NPI record

NPI: 1114139003
Entity type: Organization (Type 2)
Issued: May 4, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Dept of Orthopaedic-Orthopaedic Trauma · doing business as
Slucare Dept of Orthopaedic-Orthopaedic Trauma · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114139003

ST Louis University's National Provider Identifier is 1114139003, issued on May 4, 2007. The primary taxonomy on file is Orthopaedic Trauma Physician (207XX0801X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.