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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