Organization
MISSOURI CENTER FOR ORTHOPEDICS AND ADVANCED SPORTS MEDICINE, LLC
Active
Organization
MISSOURI CENTER FOR ORTHOPEDICS AND ADVANCED SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W. IRVINE M.D. (CEO/PHYSICIAN)
(314) 567-5850
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 5015-B, SAINT LOUIS, MO 63141-8232
(314) 567-5850
(314) 567-9169
Mailing address
621 S NEW BALLAS RD, SUITE 5015-B, SAINT LOUIS, MO 63141-8232
(314) 567-5850
(314) 567-9169
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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