Organization
ST CLAIR ORTHOPEDICS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD SACKMAN (ADMINISTRATOR)
(314) 849-0311
Entity
Organization
Contact information
Practice address
33 BRONZE POINTE N, SUITE 100, SWANSEA, IL 62226-8311
(618) 257-1177
(618) 257-1184
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
02/17/2011
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