Provider Demographics
NPI:1437115979
Name:FRANK, STEVEN R (DPM)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:FRANK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12855 N 40 DR STE 175
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8664
Mailing Address - Country:US
Mailing Address - Phone:314-434-9600
Mailing Address - Fax:314-434-9601
Practice Address - Street 1:12855 N 40 DR STE 175
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8664
Practice Address - Country:US
Practice Address - Phone:314-434-9600
Practice Address - Fax:314-434-9601
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL016004898213ES0103X
MO000806213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00727598OtherRAILROAD MEDICARE
MO1437115979Medicaid
MOU63730Medicare UPIN
MOMA1403001Medicare PIN
MOMA2312001Medicare PIN
MO1437115979Medicaid