Organization · Type 2 NPI

Center for Advanced Foot & Ankle Surgery Inc

Foot & Ankle Surgery Podiatrist · St. Louis, MO

NPI number 1174595409 Active

Practice location

621 S New Ballas Rd, Suite 7005B
St. Louis, MO 63141-8232

Fax (314) 991-3665

Mailing address

PO Box 14000
Belfast, ME 04915-4033

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X000765 (MO)
Foot & Ankle Surgery Podiatrist 213ES0103X000821 (MO)
Foot & Ankle Surgery Podiatrist 213ES0103X2000157310 (MO)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1174595409

Center for Advanced Foot & Ankle Surgery Inc's National Provider Identifier is 1174595409, issued on Feb 2, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in St. Louis, MO. The record was last updated on Sep 30, 2019.