MEDICARE: COUNTY PODIATRIST INC

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	213ES0103X	Foot & Ankle Surgery Podiatrist	000368	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518034966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY PODIATRIST INC

Provider Business Mailing Address
First Line	:	4105 UNION RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-1064
Country	:	US
Telephone Number	:	314-894-3761
Fax Number	:

Provider Business Practice Location Address
First Line	:	4105 UNION RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-1064
Country	:	US
Telephone Number	:	314-894-3761
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL A FIGURA
Credential	:	DPM
Telephone Number	:	314-894-3761

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	10/09/2012

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Directions to “COUNTY PODIATRIST INC ” Practice Location

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