person
James Thomas Main JR., DPM
Primary Podiatric Medicine Podiatrist in Cape Girardeau, Missouri
NPI 1194703017

James Thomas Main JR. is a Primary Podiatric Medicine Podiatrist based in Cape Girardeau, MO and is specialized in Primary Podiatric Medicine. James Thomas Main JR. practices in Cape Girardeau, MO and has the professional credentials of DPM. The NPI Number for James Thomas Main JR. is 1194703017 and holds a License No. 000500 (Missouri).

The current practice location address for James Thomas Main JR. is 1854 Broadway St, Cape Girardeau, MO and can be reached out via phone at 573-335-1402. You can also correspond with James Thomas Main JR. through the mailing address at 1854 BROADWAY ST, CAPE GIRARDEAU, MO - 63701-4553 (mailing address contact number: 573-335-1402).

Location: 1854 Broadway St, Cape Girardeau, MO, 63701-4553
person
Provider Profile Details
NPI Number
1194703017
Provider Name
James Thomas Main JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1854 Broadway St, Cape Girardeau, MO, 63701-4553
Phone Number
573-335-1402
Fax Number
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3018793000 05 MO
institution
Provider Business Practice Location Address Details
Address
1854 Broadway St
City
State
Zip
63701-4553
Phone Number
573-335-1402
Fax Number
person
Provider Business Mailing Address Details
Address
1854 Broadway St
City
State
Zip
63701-4553
Phone Number
573-335-1402
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
000500 (Missouri)
Definition
Definition to come...
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