Organization · Type 2 NPI
Jeffrey S Boberg DPM LLC
Foot & Ankle Surgery Podiatrist · Bridgeton, MO
NPI number
1639280290
Active
Practice location
12255 De Paul Dr, Ste 100
Bridgeton, MO 63044-2510
Fax (314) 739-3199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 000570 (MO) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004233 (IL) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2005026457 (MO) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016005217 (IL) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2003013610 (MO) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016005131 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
45 other providers at this address
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- SSM Cardiovascular and Thoracic Services, Inc.Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Bridgeton, MO NPI 1952574469
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About NPI 1639280290
Jeffrey S Boberg DPM LLC's National Provider Identifier is 1639280290, issued on Aug 31, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bridgeton, MO. The record was last updated on Nov 23, 2009.