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NPI Code Detail

MEDICARE: ADAM R STREIT D.O.

MEDICARE: ADAM R STREIT D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician2018021517MO

General Provider Information

NPI Number : 1194066233
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM R STREIT D.O.
Provider Business Mailing Address
First Line : 1031 BELLEVUE AVE STE 280A
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-1818
Country : US
Telephone Number : 314-977-1050
Fax Number : 314-977-1067
Provider Business Practice Location Address
First Line : 3307 BARADA ST
Second Line :
City : FALLS CITY
State : NE
Zip : 68355-2470
Country : US
Telephone Number : 402-245-6510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2013
Last Update Date : 10/20/2021

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