Provider Demographics
NPI:1821423385
Name:EXCEL ORTHOPEDICS LLC
Entity Type:Organization
Organization Name:EXCEL ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LENARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-778-3177
Mailing Address - Street 1:17300 N OUTER 40 RD
Mailing Address - Street 2:SUITE 316
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-1375
Mailing Address - Country:US
Mailing Address - Phone:636-778-3177
Mailing Address - Fax:314-309-2551
Practice Address - Street 1:17300 N OUTER 40 RD
Practice Address - Street 2:SUITE 316
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1375
Practice Address - Country:US
Practice Address - Phone:636-778-3177
Practice Address - Fax:314-309-2551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-03
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011010502207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty