Organization
ORTHOPEDIC ASSOCIATES
Active
Other names
JAMES S BURKE JR MD
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY POLLEY (EXECUTIVE DIR)
(314) 569-0612
Entity
Organization
Contact information
Practice address
1050 DES PERES RD, STE 100, SAINT LOUIS, MO 63131-2042
(314) 714-3122
(314) 714-3121
Mailing address
1050 DES PERES RD, STE 100, SAINT LOUIS, MO 63131-2042
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
R7N93
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2635413
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/03/2006
Last updated
08/22/2020
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