Organization · Type 2 NPI
Blackmun Footcare LLC
Foot & Ankle Surgery Podiatrist · St. Louis, MO
NPI number
1255620340
Active
Practice location
2608 N 14th St
St. Louis, MO 63106-3913
Mailing address
PO Box 23359
St. Louis, MO 63156-3359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 2010035799 (MO) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1255620340
Blackmun Footcare LLC's National Provider Identifier is 1255620340, issued on Mar 29, 2011. 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 Apr 5, 2016.