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Organization

ORTHOPEDIC SPECIALISTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CHABOT DO (DELEGATED OFFICIAL)
(314) 909-1359
Entity
Organization

Contact information

Practice address
2325 DOUGHERTY FERRY RD, SUITE 200, SAINT LOUIS, MO 63122-3356
(314) 909-1359
(314) 909-1370
Mailing address
PO BOX 790051, SAINT LOUIS, MO 63179-0051
(314) 989-0300

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
105231
MO
207X00000X
Orthopaedic Surgery Physician
112753
MO
207X00000X
Orthopaedic Surgery Physician
2003002791
MO
207X00000X
Orthopaedic Surgery Physician
2005025486
MO
207X00000X
Orthopaedic Surgery Physician
R1F60
MO
207X00000X
Orthopaedic Surgery Physician
R8G14
MO

Other

Enumeration date
01/30/2006
Last updated
10/17/2007
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