Individual
DR. DANIEL ADAMOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2318 HIGHWAY 94 SOUTH OUTER RD, SAINT CHARLES, MO 63303-8301
(636) 477-7300
(636) 922-0884
Mailing address
215 OAKWOOD FARMS CT, BALLWIN, MO 63021-7901
(636) 477-7300
(636) 922-0884
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2001015897
MO
213EP1101X
Primary Podiatric Medicine Podiatrist
200105897
MO
213ES0000X
Sports Medicine Podiatrist
2001015897
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2001015897
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305861320
—
MO
Enumeration date
10/10/2005
Last updated
10/19/2007
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