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ST PETERS BONE & JOINT SURGERY INC

Physicians Orthopaedic Surgery Orthopaedic Surgery of the Spine

Provider NPI: 1225182157

Organization Information:
Organization Name:  ST PETERS BONE & JOINT SURGERY INC
Organization is not Subpart
Authorized Official:  JIM  KIDD  EXECUTIVE DIRECTOR  636-441-3444

Practice Location:
112 PIPER HILL DR SUITE 9 SAINT PETERS, MO 63376-1690 US
Tel: 636-441-3444  Fax: 636-441-9832

Business Mailing Address:
PO BOX 430  SAINT PETERS, MO 63376-0008 US
Tel: 636-441-3444  Fax: 636-441-9832

NPI Information:
NPI: 1225182157
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207XS0117XPhysicians
Orthopaedic Surgery
Orthopaedic Surgery of the Spine
N207XX0004XPhysicians
Orthopaedic Surgery
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
MO
N335E00000XSuppliers
Prosthetic/Orthotic Supplier
MO
Y207X00000XPhysicians
Orthopaedic Surgery

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207X00000X

Type:

Classification:



Definition:



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