institution
Shoal Creek Foot And Ankle Center Llc
Foot & Ankle Surgery Podiatrist in Joplin, Missouri
NPI 1346722055

Shoal Creek Foot And Ankle Center Llc is a Foot & Ankle Surgery Podiatrist based in Joplin, MO and is specialized in Foot & Ankle Surgery. Shoal Creek Foot And Ankle Center Llc practices in Joplin, MO. The NPI Number for Shoal Creek Foot And Ankle Center Llc is 1346722055 and holds a License No. 2018010120 (Missouri).

The current practice location address for Shoal Creek Foot And Ankle Center Llc is 1801 W 32Nd St Ste 102, Joplin, MO and can be reached out via phone at 417-622-0648 and via fax at 417-622-0497.

Location: 1801 W 32Nd St Ste 102, Joplin, MO, 64803-4427
institution
Provider Profile Details
NPI Number
1346722055
Provider Name
Shoal Creek Foot And Ankle Center Llc
Credential
Provider Entity Type
Organization
Address
1801 W 32Nd St Ste 102, Joplin, MO, 64803-4427
Phone Number
417-622-0648
Fax Number
417-622-0497
Provider Enumeration Date
08/30/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
300054533 05 MO
institution
Provider Business Practice Location Address Details
Address
1801 W 32Nd St Ste 102
City
State
Zip
64804-1528
Phone Number
417-622-0648
Fax Number
417-622-0497
person
Provider Business Mailing Address Details
Address
1801 W 32Nd St Ste 102
City
State
Zip
64804-1528
Phone Number
417-622-0648
Fax Number
417-622-0497
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
2018010120 (Missouri)
Definition
Definition to come...
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