Organization
CENTER FOR ADVANCED FOOT & ANKLE SURGERY, INC.
Active
Other names
MO Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J HOLTZMAN DPM (DPM/PARTNER)
(314) 991-3668
Entity
Organization
Contact information
Practice address
1011 BOWLES AVE, SUITE 123, FENTON, MO 63026-2395
(314) 991-3668
(314) 991-3665
Mailing address
PO BOX 771754, SAINT LOUIS, MO 63177-1754
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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