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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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