Individual
DR. NEIL A ERMITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1020 N MASON RD, DIV SURG ACCS PODIATRY, STE 225, SAINT LOUIS, MO 63141-6666
(314) 747-4769
(888) 824-2176
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 747-4769
(888) 824-2176
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2021043651
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300108746
—
MO
Enumeration date
06/21/2016
Last updated
04/25/2024
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