Organization
ORTHOPEDIC CARE OF ST. LOUIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W MARTIN M.D. (PHYSICIAN, OWNER)
(314) 434-0030
Entity
Organization
Contact information
Practice address
1040 N MASON RD, SUITE G03, SAINT LOUIS, MO 63141-6399
(314) 434-0030
(314) 434-0009
Mailing address
1040 N MASON RD, SUITE G03, SAINT LOUIS, MO 63141-6399
(314) 434-0030
(314) 434-0009
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD5877
RR MEDICARE
MO
Enumeration date
03/16/2007
Last updated
10/14/2014
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