Organization
ADVANCED FOOT AND ANKLE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMUR DAVYDOV DPM (OWNER)
(646) 251-8364
Entity
Organization
Contact information
Practice address
5317 ITASKA ST UNIT 2F, SAINT LOUIS, MO 63109-2921
(646) 251-8364
Mailing address
5317 ITASKA ST UNIT 2F, SAINT LOUIS, MO 63109-2921
(646) 251-8364
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
06/28/2023
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