| |
11709 Old Ballas Rd Ste 201, Creve Coeur, MO 63141-7029 | |
(314) 432-1903 | |
(314) 432-5105 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 11709 Old Ballas Rd Ste 201, Creve Coeur, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518787134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
3505 College Ave Ste B, Alton, IL 62002-5065 Ph: (618) 462-9695 | 11709 Old Ballas Rd Ste 201, Creve Coeur, MO 63141-7029 Ph: (314) 432-1903 |
Dr. Jared Visser, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141 Phone: 314-432-1903 Fax: 314-432-5105 | |
Dr. Harry John Visser, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141 Phone: 314-432-1903 Fax: 314-432-5105 | |
Dr. Shirley Mae Catoire Visser, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141 Phone: 314-432-1903 Fax: 314-432-5015 | |
Dr. Robert Kelso Duddy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141 Phone: 314-432-1903 Fax: 314-432-5105 | |
Dr. Carmina Quiroga, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141 Phone: 314-432-1903 Fax: 314-432-5105 |