| Organization Name: | CENTER FOR ADVANCED FOOT & ANKLE SURGERY, INC. |
| NPI Number: | 1013204692 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN J HOLTZMAN (DPM/PARTNER) |
| Mailing Address: | 1011 Bowles Ave Suite 123 Fenton |
| State: | MO US |
| Postal Code: | 630262395 |
| Phone Number: | 3149913668 |
| Fax Number: | 3149913665 |
| NPI Enumeration Date: | 07/05/2011 |
| NPI Last Update Date: | 07/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |