Organization
ORTHOPEDIC AND SPORTS MEDICINE PHYSICIANS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ANTHONY BAUMER (PRESIDENT)
(618) 234-9884
Entity
Organization
Contact information
Practice address
4600 MEMORIAL DRIVE, SUITE 200, BELLEVILLE, IL 62226
(618) 234-9884
(618) 235-9020
Mailing address
4600 MEMORIAL DRIVE, SUITE 200, BELLEVILLE, IL 62226
(618) 234-9884
(618) 235-9020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
12/02/2008
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