Organization
COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC
Active
Parent organization
COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC
Authorized official
MS. TAMMY C ADDERLEY (CREDENTIALING)
(314) 432-2580
Entity
Organization
Contact information
Practice address
1101 WEBER RD, SUITE 203, FARMINGTON, MO 63640-3352
(573) 756-2600
(573) 756-2615
Mailing address
PO BOX 1449, MARYLAND HEIGHTS, MO 63043-0449
(314) 432-2580
(314) 432-0223
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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