| |
200 Medical Plz Ste 107, St Joseph W Med Building, Lake St Louis, MO 63367-1380 | |
(636) 947-3668 | |
(636) 625-6401 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 200 Medical Plz Ste 107, Lake St Louis, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346389210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 790379, Saint Louis, MO 63179-0379 Ph: (314) 989-0300 | 200 Medical Plz Ste 107, St Joseph W Med Building, Lake St Louis, MO 63367-1380 Ph: (636) 947-3668 |
True Health Integration And Synergy Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6311 Ronald Reagan Dr, #167, Lake St Louis, MO 63367 Phone: 314-735-5197 Fax: 314-338-3495 |