Organization
CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC
Active
Other names
MO Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOLTZMAN DPM (DELEGATED OFFICIAL)
(314) 991-3668
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 7005B, SAINT LOUIS, MO 63141-8232
(314) 991-3668
(314) 991-3665
Mailing address
PO BOX 14000, BELFAST, ME 04915-4033
(314) 991-3668
(314) 991-3665
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000765
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
000821
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
2000157310
MO
Other
Enumeration date
02/02/2006
Last updated
09/30/2019
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