Individual provider · Type 1 NPI

Jared Visser, DPM

Foot & Ankle Surgery Podiatrist · Creve Coeur, MO

NPI number 1174812358 Active

Practice location

11709 Old Ballas Rd, Suite 201
Creve Coeur, MO 63141-7029

Fax (314) 432-5105

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103X07001116A (IN)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X2012026028 (MO)

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

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About NPI 1174812358

Jared Visser, DPM's National Provider Identifier is 1174812358, issued on Mar 29, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Creve Coeur, MO. The record was last updated on Aug 2, 2012.