Doctor Name: | PRESTON RINGO |
NPI Number: | 1164862405 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 2013024451 |
Business Practice Address: | 2338 Wescreek Dr Maryland Heights, MO - 630434112 |
Business Phone Number: | 6109377066 |
Business Fax Number: | |
Mailing Address: | 2338 Wescreek Dr, MARYLAND HEIGHTS |
State: | MO |
Postal Code: | 630434112 |
Phone Number: | 6109377066 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2013 |
NPI Last Update Date: | 07/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 2013024451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |