Healthcare Provider Details

I. General information

NPI: 1437115979
Provider Name (Legal Business Name): STEVEN R FRANK DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12855 N 40 DR STE 175
SAINT LOUIS MO
63141-8664
US

IV. Provider business mailing address

12855 N 40 DR STE 175
SAINT LOUIS MO
63141-8664
US

V. Phone/Fax

Practice location:
  • Phone: 314-434-9600
  • Fax: 314-434-9601
Mailing address:
  • Phone: 314-434-9600
  • Fax: 314-434-9601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number000806
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number016004898
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: