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Contact Information

RYAN J POMAJZL, M.D., P.T., A.T.,C.
12349 DE PAUL DR STE 100
BRIDGETON, MO63044-2512
 Phone: 314-291-7900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Athletic Trainer

2255A2300X
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RYAN J POMAJZL · (Male)

NPI # 1508889577
Status Active
Credentials M.D., P.T., A.T.,C.
Entity Individual
Enumeration date 07/25/2006
Last updated 11/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301096581
  • MO License # 2015010865
  • MO License # MO 2004007316
  • MO License # MO 2004010716
Hospital affiliation(s)
  • SSM DEPAUL HEALTH CENTER - (Acute Care)
    12303 DEPAUL DRIVE
    BRIDGETON, MO 63044
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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