Feet First Podiatry LLC
Podiatrist, Foot & Ankle Surgery in Saint Peters, MO. Organization (NPI-2).
NPI number1700917960
StatusActive
Last updated in NPPESMay 19, 2021
Details
- NPI
- 1700917960
- Entity type
- Organization (NPI-2)
- Legal business name
- Feet First Podiatry LLC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2007
- Certification date
- May 19, 2021
- Last updated
- May 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 2001015897 | MO | Yes |
Practice location
2046 Queensbrooke Blvd Ste 100Saint Peters, MO 63376-7881
Phone 636-477-7300 · Fax 636-922-0884
Mailing address
2046 Queensbrooke Blvd Ste 100Saint Peters, MO 63376-7881
Phone 636-477-7300 · Fax 636-922-0884
Other practice locations
1021 Wentzville Pkwy
Wentzville, MO 63385-3437
Wentzville, MO 63385-3437
Phone 633-477-7300 · Fax 636-922-0884
Authorized official
Daniel Adamovsky
President
6364777300
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