| Organization Name: | TOTAL JOINT CENTER OF ST. LOUIS, LP |
| NPI Number: | 1205241361 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE REED (OFFICER / AUTHORIZED OFFICIAL) |
| Mailing Address: | 760 Office Pkwy Creve Coeur |
| State: | MO US |
| Postal Code: | 631417105 |
| Phone Number: | 3149954700 |
| Fax Number: | 9726926745 |
| NPI Enumeration Date: | 06/27/2014 |
| NPI Last Update Date: | 06/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |