Provider First Line Business Practice Location Address:
660 S EUCLID AVE, CAMPUS BOX 8233
Provider Second Line Business Practice Location Address:
WASHINGTON UNIVERSITY ORTHOPEDICS
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-747-2555
Provider Business Practice Location Address Fax Number:
314-747-9990
Provider Enumeration Date:
05/03/2012