Organization
KIRKWOOD DIAGNOSTIC & ORTHOPEDIC ASSOCIATES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE HORACE (BUSINESS MANAGER)
(314) 909-1666
Entity
Organization
Contact information
Practice address
333 S KIRKWOOD RD, SUITE 203, SAINT LOUIS, MO 63122-6161
(314) 909-1666
(314) 909-7406
Mailing address
333 S KIRKWOOD RD, SUITE 203, SAINT LOUIS, MO 63122-6161
(314) 909-1666
(314) 909-7406
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
109216
MO
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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