Organization
NETTESHEIM FAMILY FOOTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH CONWAY (RECEPTION)
(314) 839-9009
Entity
Organization
Contact information
Practice address
4305 BUTLER HILL RD, SAINT LOUIS, MO 63128-3718
(314) 839-9009
Mailing address
4305 BUTLER HILL RD, SAINT LOUIS, MO 63128-3718
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
000531
MO
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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