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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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