Organization
MID-WEST PODIATRY & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY PIKE (BILLER)
(314) 432-1903
Entity
Organization
Contact information
Practice address
141 E MADISON AVE, SUITE 100, KIRKWOOD, MO 63122-4330
(314) 821-8855
(314) 965-1296
Mailing address
141 E MADISON AVE, SUITE 100, KIRKWOOD, MO 63122-4330
(314) 821-8855
(314) 965-1296
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365905405
—
MO
05
—
365905413
—
MO
Enumeration date
12/22/2006
Last updated
06/02/2016
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