Organization
NORTH COUNTY ORTHOPAEDICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD H. BRANCATO M.D. (PRESIDENT)
(314) 355-7717
Entity
Organization
Contact information
Practice address
11863 BENHAM RD, SUITE 102, SAINT LOUIS, MO 63138-1308
(314) 355-7717
(314) 355-8688
Mailing address
11863 BENHAM RD, SUITE 102, SAINT LOUIS, MO 63138-1308
(314) 355-7717
(314) 355-8688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R5454
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-00007
UNITED HEALTHCARE
MO
01
—
1254
GROUP HEALTH PLAN
MO
01
—
137229
PHCS
MO
01
—
4000123
AETNA
MO
01
—
5368
BLUE CROSS BLUE SHIELD
MO
Enumeration date
02/26/2007
Last updated
08/22/2020
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