Organization
BLUETAIL MEDICAL GROUP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE O'NEIL (PRACTICE ADMINISTRATOR)
(636) 778-2900
Entity
Organization
Contact information
Practice address
13353 OLIVE BLVD, CHESTERFIELD, MO 63017-3108
(636) 778-2900
(636) 778-2828
Mailing address
PO BOX 11665, BELFAST, ME 04915-4007
(636) 778-2900
(636) 778-2828
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
LC1262307
MO
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/12/2012
Last updated
11/17/2025
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