Organization
SUBURBAN FOOT CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COMESS MD (OWNER)
(314) 997-1315
Entity
Organization
Contact information
Practice address
456 N NEW BALLAS RD, SUITE 250, SAINT LOUIS, MO 63141-6831
(314) 997-1315
(314) 997-2014
Mailing address
1836 LACKLAND HILL PKWY, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000410
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505468702
—
MO
Enumeration date
02/02/2007
Last updated
04/21/2008
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