Individual
EDWARD F SCHLAFLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 S WOODS MILL RD, SUITE 330, CHESTERFIELD, MO 63017-3451
(314) 576-7013
(314) 576-4047
Mailing address
224 S WOODS MILL RD, SUITE 330, CHESTERFIELD, MO 63017-3451
(314) 576-7013
(314) 576-4047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R7B75
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10855091
CAQH
—
01
—
21452
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/24/2005
Last updated
01/07/2011
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