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Organization

ST LOUIS ORTHOPEDIC INSTITUTE INC

Active
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Organization

ST LOUIS ORTHOPEDIC INSTITUTE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH J ODEGARD MD (VICE PRESIDENT)
(314) 966-0111
Entity
Organization

Contact information

Practice address
12855 NORTH FORTY DRIVE, SUITE 125, ST LOUIS, MO 63141
(314) 543-2123
(314) 966-1023
Mailing address
12813 FLUSHING MEADOWS DRIVE, SUITE 210, ST. LOUIS, MO 63131
(314) 543-2123
(314) 966-1023

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
08/16/2006
Last updated
02/07/2012
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