Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluetail Biologics LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1639645070

Bluetail Biologics LLC is a Sports Medicine (Family Medicine) Physician in Chesterfield, Missouri. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17300 N Outer 40 Rd Ste 201
Chesterfield, MO 63005-1364
Phone: (636) 778-2900
Fax: (636) 778-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1639645070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joe Oneil — Practice Administrator · (636) 778-2826
NPI enumeratedOctober 23, 2018
Last updated in NPPESOctober 23, 2018
Mailing address17300 N Outer 40 Rd Ste 201, Chesterfield, MO 63005-1364

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