Organization
ADVANCED ORTHOSPINE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEEL AHMED MD (OWNER/PRESIDENT)
(618) 239-0678
Entity
Organization
Contact information
Practice address
10012 MANCHESTER RD, SAINT LOUIS, MO 63122-1826
(618) 239-0678
(800) 516-2392
Mailing address
10012 MANCHESTER RD, SAINT LOUIS, MO 63122-1826
(618) 239-0678
(800) 516-2392
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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