Organization · Type 2 NPI

Woodlake Podiatry

Foot & Ankle Surgery Podiatrist · Chesterfield, MO

NPI number 1982069233 Active

Practice location

1585 Woodlake Dr, 200
Chesterfield, MO 63017-5740

Fax (314) 434-8768

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X000414 (MO)
Foot & Ankle Surgery Podiatrist 213ES0103X2015014632 (MO)

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

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About NPI 1982069233

Woodlake Podiatry's National Provider Identifier is 1982069233, issued on Dec 30, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chesterfield, MO. The record was last updated on Dec 30, 2015.