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NPI Code Detail

MEDICARE: DR. JACOB BUTTON DPM

MEDICARE:  DR. JACOB  BUTTON  DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist2019033376MO

General Provider Information

NPI Number : 1700232915
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACOB BUTTON DPM
Provider Business Mailing Address
First Line : 5700 HIGHLANDS PLAZA DR APT 4057
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-1376
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6400 CLAYTON RD STE 412
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1850
Country : US
Telephone Number : 314-381-1800
Fax Number : 314-442-7749
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2016
Last Update Date : 07/21/2022

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Directions to “ DR. JACOB BUTTON DPM” Practice Location

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