Organization
ORTHO MISSOURI, LLC
Active
Other names
OrthoMO, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY BAKER (MARKET PRESIDENT)
(314) 288-9826
Entity
Organization
Contact information
Practice address
11330 OLIVE BLVD STE 150, CREVE COEUR, MO 63141-7149
(314) 288-9826
Mailing address
11330 OLIVE BLVD STE 150, CREVE COEUR, MO 63141-7149
(314) 288-9826
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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