Organization · Type 2 NPI

Ssmdepaul Medical Group

Foot & Ankle Surgery Podiatrist · St. Charles, MO

NPI number 1457660896 Active

Practice location

1551 Wall St, Suite 400
St. Charles, MO 63303-3539

Fax (636) 669-2221

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

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

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About NPI 1457660896

Ssmdepaul Medical Group's National Provider Identifier is 1457660896, issued on Oct 4, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in St. Charles, MO. The record was last updated on Oct 4, 2010.