Individual
DR. RYAN J POMAJZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.T., A.T.,C.
Contact information
Practice address
12349 DE PAUL DR STE 100, BRIDGETON, MO 63044-2512
(314) 291-7900
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2015010865
MO
207X00000X
Orthopaedic Surgery Physician
4301096581
MI
2251S0007X
Sports Physical Therapist
MO 2004010716
MO
2255A2300X
Athletic Trainer
MO 2004007316
MO
Other
Enumeration date
07/25/2006
Last updated
11/06/2020
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