Organization
ST PETERS BONE & JOINT SURGERY INC.
Active
Other names
St Peters Bone and Joint
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM P KIDD (EXECUTIVE DIRECTOR)
(636) 229-4239
Entity
Organization
Contact information
Practice address
1601 WENTZVILLE PKWY, SUITE 117, WENTZVILLE, MO 63385-3814
(636) 441-3444
(636) 441-9832
Mailing address
PO BOX 430, SAINT PETERS, MO 63376-0008
(636) 441-3444
(636) 441-9832
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/05/2008
Last updated
03/16/2025
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