Organization
PETKOVICH ORTHOPEDIC AND SPINE CARE LLC
Active
Organization
PETKOVICH ORTHOPEDIC AND SPINE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK OGDEN PETKOVICH MD (DOCTOR)
(314) 432-6500
Entity
Organization
Contact information
Practice address
2821 N BALLAS RD, SUITE C 70, SAINT LOUIS, MO 63131-2321
(314) 432-6500
Mailing address
2821 N BALLAS RD, SUITE C 70, SAINT LOUIS, MO 63131-2321
(314) 432-6500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R5882
MO
Other
Enumeration date
10/10/2007
Last updated
05/07/2024
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