Provider Demographics
NPI:1003060880
Name:ADVANCED ORTHOPEDICS, LLC
Entity Type:Organization
Organization Name:ADVANCED ORTHOPEDICS, LLC
Other - Org Name:ADVANCED ORTHOPEDICS OF CLAYTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-721-7325
Mailing Address - Street 1:8225 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1107
Mailing Address - Country:US
Mailing Address - Phone:314-721-7325
Mailing Address - Fax:314-721-1157
Practice Address - Street 1:8225 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1107
Practice Address - Country:US
Practice Address - Phone:314-721-7325
Practice Address - Fax:314-721-1157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty