Organization
AGILITY ORTHOPAEDICS, LLC
Active
Organization
AGILITY ORTHOPAEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON D RABENOLD MD (ORTHOPAEDIC SURGEON/ OWNER)
(315) 491-2696
Entity
Organization
Contact information
Practice address
555 N NEW BALLAS RD STE 175, SAINT LOUIS, MO 63141-6825
(314) 786-2663
Mailing address
555 N NEW BALLAS RD STE 175, SAINT LOUIS, MO 63141-6825
(314) 786-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2009010059
MO
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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