MEDICARE: DR. GEORGE ARTHUR PALETTA JR. M.D.

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
1	204C00000X	Sports Medicine (Neuromusculoskeletal Medicine) Physician	114741	MO

General Provider Information

NPI Number	:	1497720825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE ARTHUR PALETTA JR. M.D.

Provider Business Mailing Address
First Line	:	14825 N OUTER 40
Second Line	:	SUITE 200
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-2026
Country	:	US
Telephone Number	:	314-336-2555
Fax Number	:

Provider Business Practice Location Address
First Line	:	14825 N OUTER 40
Second Line	:	SUITE 200
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-2026
Country	:	US
Telephone Number	:	314-336-2555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	07/08/2007

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