Organization
JEFFREY S BOBERG DPM LLC
Active
Other names
Ankle & Foot Surgeons of the Midwest
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S BOBERG DPM (OWNER/PHYSICIAN)
(618) 236-7444
Entity
Organization
Contact information
Practice address
180 S 3RD ST, STE 103, BELLEVILLE, IL 62220-1952
(618) 236-7444
Mailing address
180 S 3RD ST, STE 103, BELLEVILLE, IL 62220-1952
(618) 236-7444
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004233
IL
Other
Enumeration date
06/10/2008
Last updated
07/17/2008
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