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Contact Information

TIFFANY M DELUTIS, DPM
1393 BIG BEND RD STE A
BALLWIN, MO63021-7601
 Phone: 636-496-0022
 Fax: 636-825-9756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TIFFANY M DELUTIS · (Female)

NPI Number 1801182720
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/20/2011
Last updated 08/19/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2014017376
Hospital affiliation(s) Not Available
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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