Organization
BK PODIATRY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA G BEISER (OFFICE MANAGER)
(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
111 FLORISSANT OAKS SHOP CTR, FLORISSANT, MO 63031-3933
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0000440
MO
213E00000X
Podiatrist
2001014944
MO
213E00000X
Podiatrist
800
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
0000440
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
2001014944
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
800
MO
Other
Enumeration date
04/11/2007
Last updated
09/01/2022
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