Healthcare Provider Details

I. General information

NPI: 1952237109
Provider Name (Legal Business Name): OSCAR D. ETUK, DPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2926 ARLMONT DR
SAINT LOUIS MO
63121-4619
US

IV. Provider business mailing address

2926 ARLMONT DR
SAINT LOUIS MO
63121-4619
US

V. Phone/Fax

Practice location:
  • Phone: 314-915-8552
  • Fax:
Mailing address:
  • Phone: 314-915-8552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. OSCAR DAVID ETUK
Title or Position: PHYSICIAN
Credential: DPM
Phone: 314-915-8552