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General NPI Number Information
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NPI Number | 1417128067
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Entity Type | Organization
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Legal Business Name | EXCEL CARE ORTHOPEDICS, INC.
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 1520 9TH ST SUITE 250
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City | HIGHLAND
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State | IL
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Zip | 62249-1677
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Country | US
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Telephone | 314-355-6070
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Fax | 314-355-5716
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Provider Business Mailing Address
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Address Line | PO BOX 1209
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-0209
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Country | US
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Telephone | 314-989-5769
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Fax | 314-989-3749
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Authorized Official
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Title or Position | OWNER
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Name | RAFAT S NASHED
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Credential | MD
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Telephone | 314-355-6070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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