person
Jeffrey Steven Boberg, DPM
Foot & Ankle Surgery Podiatrist in O Fallon, Missouri
NPI 1437264595

Jeffrey Steven Boberg is a Foot & Ankle Surgery Podiatrist based in O Fallon, MO and is specialized in Foot & Ankle Surgery. Jeffrey Steven Boberg practices in O Fallon, MO and has the professional credentials of DPM. The NPI Number for Jeffrey Steven Boberg is 1437264595 and holds a License No. 000570 (Missouri).

The current practice location address for Jeffrey Steven Boberg is 9323 Phoenix Village Pkwy, O Fallon, MO and can be reached out via phone at 636-561-0871 and via fax at 636-561-5032.

Location: 9323 Phoenix Village Pkwy, O Fallon, MO, 63368-4281
person
Provider Profile Details
NPI Number
1437264595
Provider Name
Jeffrey Steven Boberg
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
9323 Phoenix Village Pkwy, O Fallon, MO, 63368-4281
Phone Number
636-561-0871
Fax Number
636-561-5032
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302436829 05 MO
5031350001 01 MO DMERC
P00081678 01 MO RAILROAD MEDICARE
5031350002 01 IL DMERC
institution
Provider Business Practice Location Address Details
Address
9323 Phoenix Village Pkwy
City
State
Zip
63368-4281
Phone Number
636-561-0871
Fax Number
636-561-5032
person
Provider Business Mailing Address Details
Address
9323 Phoenix Village Pkwy
City
State
Zip
63368-4281
Phone Number
636-561-0871
Fax Number
636-561-5032
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
000570 (Missouri)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
000570 (Missouri)
Definition
Definition to come...
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