Organization
ST JOSEPH ORTHOPEDIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H GONDRING MD (OWNER)
(800) 875-0211
Entity
Organization
Contact information
Practice address
1335 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(800) 875-0211
(816) 233-7258
Mailing address
1335 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(800) 875-0211
(816) 233-7258
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04974023
BCBS KC PIN
MO
01
—
074632
BCBS KS PIN
KS
Enumeration date
10/17/2005
Last updated
07/21/2022
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