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NPI Code Detail

MEDICARE: DR. JOHN J BUDD III MD

MEDICARE: DR. JOHN J BUDD III MD
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
1207RR0500XRheumatology PhysicianR2D17MO

General Provider Information

NPI Number : 1669425989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN J BUDD III MD
Provider Business Mailing Address
First Line : 520 S ELM AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3845
Country : US
Telephone Number : 314-645-4434
Fax Number : 314-645-3801
Provider Business Practice Location Address
First Line : 520 S ELM AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3845
Country : US
Telephone Number : 314-645-4434
Fax Number : 314-645-3801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 02/25/2022

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