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: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S NEW BALLAS RD STE 6011B
SAINT LOUIS MO
63141-8274
US

IV. Provider business mailing address

621 S NEW BALLAS RD STE 6011B
SAINT LOUIS MO
63141-8274
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-7400
  • Fax: 314-251-7410
Mailing address:
  • Phone: 314-251-7400
  • Fax: 314-251-7410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGHAN M ARNOLD
Title or Position: PODIATRIST
Credential: DPM
Phone: 314-251-7400