Organization
BK PODIATRY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BROADHEAD D.P.M. (OWNER)
(314) 837-8477
Entity
Organization
Contact information
Practice address
91 FLORISSANT OAKS SHOP CTR, FLORISSANT, MO 63031-3934
(314) 837-8477
(314) 837-0611
Mailing address
91 FLORISSANT OAKS SHOP CTR, FLORISSANT, MO 63031-3934
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/16/2014
Last updated
09/01/2022
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