Organization
CENTRAL ORTHOPEDICS AND SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MITCHELL (OFFICE MANAGER)
(314) 275-7800
Entity
Organization
Contact information
Practice address
121 SAINT LUKES CENTER DR STE 502, CHESTERFIELD, MO 63017-3519
(314) 275-7800
Mailing address
PO BOX 1125, MARYLAND HEIGHTS, MO 63043-0125
(314) 275-7800
(314) 275-7801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2004010786
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614192600
DEPT. OF LABOR OWCP
MO
01
—
940891
HEALTHLINK
MO
01
—
DO6814
RAILROAD MEDICARE
MO
Enumeration date
07/02/2008
Last updated
04/24/2018
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