Organization
CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC
Active
Parent organization
CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC
Other names
MO Foot & Ankle
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR ADVANCED FOOT & ANKLE SURGERY INC
Authorized official
JOHN J HOLTZMAN DPM (PARTNER)
(314) 991-3668
Entity
Organization
Contact information
Practice address
15945 CLAYTON RD, BALLWIN, MO 63011-2146
(636) 256-5298
Mailing address
PO BOX 771754, SAINT LOUIS, MO 63177-1754
(314) 872-1332
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
MO
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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