Organization
ST PETERS BONE & JOINT SURGERY INC.
Active
Organization
ST PETERS BONE & JOINT SURGERY INC.
Active
Other names
Advanced Bone & Joint
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM KIDD (CEO)
(636) 441-3444
Entity
Organization
Contact information
Practice address
5200 EXECUTIVE CENTRE PKWY STE 300, SAINT PETERS, MO 63376-3809
(636) 441-3444
(636) 441-9832
Mailing address
PO BOX 430, SAINT PETERS, MO 63376-0008
(636) 441-3444
(636) 441-9832
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
MO
335E00000X
Prosthetic/Orthotic Supplier
—
MO
Other
Enumeration date
01/22/2007
Last updated
03/16/2025
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