Bluetail Biologics LLC
NPI #1639645070 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1639645070
- Entity Type
- Organization
- Organization Name
- Bluetail Biologics LLC
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Oct 23, 2018
- Last Updated
- Oct 23, 2018
Practice Location
- Address
- 17300 N OUTER 40 RD STE 201
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63005-1364
- Phone
- (636) 778-2900
Authorized Official
- Name
- JOE ONEIL
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (636) 778-2826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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