Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | R8N63 | MO |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | DO R8N63 | MO |
NPI | 1023110582 |
---|---|
Provider Name | Richard Baxter Helfrey |
First Address | Saint Louis, MO 63195-5534 |
Second Address | Wentzville, MO 63385-3814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2006 |
Last Update Date | 24/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F05535 | (02) | MO |