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Organization

FOOT & ANKLE CENTER, LLC

Active
Find providers by NPI
Organization

FOOT & ANKLE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUIS AQUINO DPM (AUTHORIZED OFFICIAL)
(314) 487-9300
Entity
Organization

Contact information

Practice address
1299 REAVIS BARRACKS RD, SAINT LOUIS, MO 63125-3260
(314) 487-9300
(314) 487-0120
Mailing address
1299 REAVIS BARRACKS RD, SAINT LOUIS, MO 63125-3260
(314) 487-9300
(314) 487-9338

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
0000481
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
000540
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000806
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
016003754
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016004166
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016004898
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005263
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
2001012399
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
2004019390
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4461710002
DMERC MO BAP
MO
01
—
4461710003
DMERC ST CHARLES
MO
01
—
4461710004
MEDICARE DMERC N COUNTY
MO
01
—
4461710005
MEDICARE DMERC LSTL
MO
01
—
4461710006
MEDICARE DMERC SUNSET HIL
MO
01
—
4461710007
MEDICARE DMERC GC
IL
01
—
4461710008
MEDICARE DMERC FH
IL
01
—
4461710009
MEDICARE DMERC WATERLOO
IL
01
—
4461710010
MEDICARE DMERC PINCKNEY
IL
Enumeration date
04/20/2006
Last updated
11/12/2014
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