Healthcare Provider Details

I. General information

NPI: 1699391946
Provider Name (Legal Business Name): ST LOUIS FOOT AND ANKLE INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2020
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17000 BAXTER RD STE 200
CHESTERFIELD MO
63005-1444
US

IV. Provider business mailing address

17000 BAXTER RD STE 200
CHESTERFIELD MO
63005-1444
US

V. Phone/Fax

Practice location:
  • Phone: 314-940-7400
  • Fax: 314-254-4214
Mailing address:
  • Phone: 314-940-7400
  • Fax: 314-254-4214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGHAN MARIE ARNOLD
Title or Position: CHIEF MEDICAL OFFICER/OWNER
Credential: DPM
Phone: 314-940-7400