| Doctor Name: | DR. BETTY LOUISE BALDRIDGE |
| NPI Number: | 1215985940 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 2004018585 |
| Business Practice Address: | 204 Mcmenamy Rd St Peters, MO - 633761514 |
| Business Phone Number: | 6363978333 |
| Business Fax Number: | 6369701123 |
| Mailing Address: | 5114 Daggett Ave, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631103010 |
| Phone Number: | 3146644069 |
| Fax Number: | 6369701123 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 2004018585 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |