Organization
WOODLAKE PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JAFFE DPM (OWNER/PODIATRIST)
(314) 434-7430
Entity
Organization
Contact information
Practice address
1585 WOODLAKE DR, 200, CHESTERFIELD, MO 63017-5740
(314) 434-7430
(314) 434-8768
Mailing address
1585 WOODLAKE DR, 200, CHESTERFIELD, MO 63017-5740
(314) 434-7430
(314) 434-8768
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000414
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
2015014632
MO
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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