Organization
ST. LOUIS SPORTS HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER R ROTHROCK M.D. (PRESIDENT)
(314) 821-4423
Entity
Organization
Contact information
Practice address
1000 DES PERES RD, SUITE 325, SAINT LOUIS, MO 63131-2050
(314) 821-4423
(314) 821-7706
Mailing address
1000 DES PERES RD, SUITE 325, SAINT LOUIS, MO 63131-2050
(314) 821-4423
(314) 821-7706
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2003010405
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR3292
MEDICARE RAILROAD
MO
Enumeration date
05/15/2009
Last updated
06/21/2011
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