Organization
TRACY M REED, DPM,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY MARIA REED DPM (OWNER)
(314) 381-2224
Entity
Organization
Contact information
Practice address
5937 W FLORISSANT AVE, SAINT LOUIS, MO 63136-4952
(314) 381-2224
(314) 381-1771
Mailing address
5937 W FLORISSANT AVE, SAINT LOUIS, MO 63136-4952
(314) 381-2224
(314) 381-1771
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000797
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4810960001
MEDICAID DMERC
MO
Enumeration date
08/30/2007
Last updated
08/30/2007
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