institution
Jeffrey S Boberg Dpm Llc
Foot & Ankle Surgery Podiatrist in Bridgeton, Missouri
NPI 1639280290

Jeffrey S Boberg Dpm Llc is a Foot & Ankle Surgery Podiatrist based in Bridgeton, MO and is specialized in Foot & Ankle Surgery. Jeffrey S Boberg Dpm Llc practices in Bridgeton, MO. The NPI Number for Jeffrey S Boberg Dpm Llc is 1639280290 and holds a License No. 000570 (Missouri).

The current practice location address for Jeffrey S Boberg Dpm Llc is 12255 De Paul Dr, Bridgeton, MO and can be reached out via phone at 314-739-7100 and via fax at 314-739-3199.

Location: 12255 De Paul Dr, Bridgeton, MO, 63044-2510
institution
Provider Profile Details
NPI Number
1639280290
Provider Name
Jeffrey S Boberg Dpm Llc
Credential
Provider Entity Type
Organization
Address
12255 De Paul Dr, Bridgeton, MO, 63044-2510
Phone Number
314-739-7100
Fax Number
314-739-3199
Provider Enumeration Date
08/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500008107 05 MO
DC4793 01 IL RAILROAD MEDICARE
DA9953 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
12255 De Paul Dr
City
State
Zip
63044-2510
Phone Number
314-739-7100
Fax Number
314-739-3199
person
Provider Business Mailing Address Details
Address
12255 De Paul Dr
City
State
Zip
63044-2510
Phone Number
314-739-7100
Fax Number
314-739-3199
person
Provider's Taxonomy Details 1
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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