Organization
MIDWEST FOOT AND ANKLE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK MATTHEWS DPM (PODIATRIST)
(314) 741-3546
Entity
Organization
Contact information
Practice address
12410 LUSHER RD, SAINT LOUIS, MO 63138-1456
(314) 741-3546
(314) 741-3548
Mailing address
12410 LUSHER RD, SAINT LOUIS, MO 63138-1456
(314) 741-3546
(314) 741-3548
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2005012314
MO
Other
Enumeration date
02/17/2009
Last updated
09/08/2011
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