OrganizationActive
Basso Family LLC
NPI 1245975614 · Podiatrist · Saint Louis, MO
Provider details
- NPI number
- 1245975614
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Douglas Basso, Chief Officer(618) 578-8667
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2821 N Ballas Rd Ste C15
Saint Louis, MO 63131-2300
Phone: (314) 394-8580
Fax: (314) 983-9650
Approximate (ZIP-level) locationGet directions
Mailing address
4105 Endicott Ct
Swansea, IL 62226-8210
Additional practice locations (1)
- 331 Salem Pl Ste 100Fairview Heights, IL 62208-1340Phone: (314) 394-8580Fax: (314) 983-9650
Registry dates
- Enumerated
- 2022-04-30
- Last updated
- 2023-11-06
- Certified
- 2023-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.