Agility Orthopaedics, LLC
Orthopaedic Surgery in Saint Louis, MO. Organization (NPI-2).
NPI number1225494941
StatusActive
Last updated in NPPESJan 11, 2016
Details
- NPI
- 1225494941
- Entity type
- Organization (NPI-2)
- Legal business name
- Agility Orthopaedics, LLC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2016
- Last updated
- Jan 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2009010059 | MO | Yes |
Practice location
555 N New Ballas Rd Ste 175Saint Louis, MO 63141-6825
Phone 314-786-2663
Mailing address
555 N New Ballas Rd Ste 175Saint Louis, MO 63141-6825
Phone 314-786-2663
Authorized official
Jason D Rabenold
Orthopaedic Surgeon/ Owner
3154912696
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