Advanced Podiatry, LLC
Podiatrist in Saint Peters, MO. Organization (NPI-2).
NPI number1043943038
StatusActive
Last updated in NPPESJul 6, 2022
Details
- NPI
- 1043943038
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Podiatry, LLC
- Organization subpart
- No
- Enumeration date
- Jul 6, 2022
- Certification date
- Jul 6, 2022
- Last updated
- Jul 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
5401 Veterans Memorial Pkwy Ste 102Saint Peters, MO 63376-1681
Phone 636-442-1541
Mailing address
1301 N 2nd StSaint Charles, MO 63301-2105
Phone 636-352-9072
Authorized official
Katherine Besselman
Owner
6363529072
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