NPI: 1871760561 · SAINT LOUIS, MO 63122 · Podiatrist · NPI assigned 05/12/2008
| Authorized Official | WEBER, COLETTE (PRESIDENT) |
| NPI Enumeration Date | 05/12/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 72 | $625.98 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 72 | 62 | $625.98 |