Organization
CHESTERFIELD ORTHOPEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E WALENTYNOWICZ MD (PRESIDENT AND OWNER)
(314) 317-9000
Entity
Organization
Contact information
Practice address
222 SOUTH WOODS MILL ROAD, SUITE 650 NORTH MEDICAL BUILDING, CHESTERFIELD, MO 63017-3625
(314) 317-9000
(314) 275-8372
Mailing address
222 SOUTH WOODS MILL ROAD, SUITE 650 NORTH MEDICAL BUILDING, CHESTERFIELD, MO 63017-3625
(314) 317-9000
(314) 275-8372
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R4J48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200037794
RAILROAD MEDICARE
MO
Enumeration date
09/14/2006
Last updated
05/19/2011
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