Search › Missouri › 213ES0103X
Jeffrey Boberg, D.P.M
NPI 1437264595 · on the registry since 2006
Practice
- Address
- 9323 Phoenix Village Pkwy
O Fallon, MO 63368 - Phone
- (636) 561-0871
- Fax
- (636) 561-5032
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213E00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri