Professional Athletic Orthopedics

NPI 1063430973 - Specialist - 174400000X

NPI Details
NPI 1063430973
Enumeration Date 07/18/2006
Last Updated 08/29/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD RICHARD
Position MEDICAL DIRECTOR
Phone (314) 909-1666
Fax (314) 909-7406
Practice Location
333 S KIRKWOOD RD
STE 200
ST LOUIS MO, 63122, US
Phone (314) 909-1666
Fax (314) 909-7406
Business Location
333 S KIRKWOOD RD
STE 200
ST LOUIS MO, 63122, US
Phone (314) 909-1666
Fax (314) 909-7406
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1063430973 NPI Number
 

According to our database, Professional Athletic Orthopedics NPI is 1063430973, taxonomy code is 174400000X Professional Athletic Orthopedics physically located at 333 S Kirkwood Rd, St Louis MO, 63122. NPI Number 1033115704 has the healthcare provider type.

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1063430973 NPI number is provided on an as is basis without warranty of any kind. 1063430973 is maintained by the National Plan & Provider Enumeration System. The contents of Professional Athletic Orthopedics are for informational purposes only.