Basso Family LLC

Podiatrist · Saint Louis, MO

Organization Active NPI

NPI number 1245975614

Practice location

2821 N Ballas Rd Ste C15
Saint Louis, MO 63131-2300
Phone
(314) 394-8580
Fax
(314) 983-9650

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NPI record

NPI
1245975614
Entity type
Organization (Type 2)
Enumeration date
April 30, 2022
Last updated
November 6, 2023
Certified
November 6, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Podiatrist Primary 213E00000X — —

Mailing address

4105 Endicott Ct
Swansea, IL 62226-8210
Phone
(618) 578-8667

Authorized official

Name
Dr. Douglas Kipp Basso, DPM
Title
Chief Officer
Phone
(618) 578-8667

Other practice locations (1)

  • 331 Salem Pl Ste 100, Fairview Heights, IL 62208-1340 · (314) 394-8580

About Basso Family LLC

Basso Family LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Podiatrist (code 213E00000X). The practice location is 2821 N Ballas Rd Ste C15, Saint Louis, MO 63131-2300. The NPI number 1245975614 was assigned on April 30, 2022 and the record was last updated on November 6, 2023.

The authorized official for this organization is Dr. Douglas Kipp Basso, DPM, Chief Officer.

Frequently asked questions

What is the NPI number of Basso Family LLC?

The NPI number is 1245975614.

What is the phone number of Basso Family LLC?

The phone number listed for the practice location is (314) 394-8580.

Where is Basso Family LLC located?

2821 N Ballas Rd Ste C15, Saint Louis, MO 63131-2300.

What is the taxonomy code for Basso Family LLC?

The primary taxonomy code is 213E00000X – Podiatrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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