Organization
ORTHOPEDIC & SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY ROSSO (OFFICE MANAGER)
(314) 966-8887
Entity
Organization
Contact information
Practice address
1001 S KIRKWOOD RD, SUITE 120, SAINT LOUIS, MO 63122-7254
(314) 966-8887
(314) 966-3869
Mailing address
PO BOX 843857, KANSAS CITY, MO 64184-3857
(314) 966-8887
(314) 966-3869
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
01/17/2007
Last updated
06/26/2013
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