Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2015015498 | MO |
N | 207XS0117X | Orthopaedic Spine Surgeon | 2015015498 | MO |
NPI | 1356504252 |
---|---|
Provider Name | Dr. Christopher Paul O'boynick |
First Address | Saint Louis, MO 63128-2786 |
Second Address | Saint Louis, MO 63128-2786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 23/03/2021 |