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Columbia Podiatry, L.l.c.
Foot & Ankle Surgery Podiatrist in Columbia, Missouri
NPI 1386714194

Columbia Podiatry, L.l.c. is a Foot & Ankle Surgery Podiatrist based in Columbia, MO and is specialized in Foot & Ankle Surgery. Columbia Podiatry, L.l.c. practices in Columbia, MO. The NPI Number for Columbia Podiatry, L.l.c. is 1386714194 and holds a License No. MO000539 (Missouri).

The current practice location address for Columbia Podiatry, L.l.c. is 305 N Keene St, Columbia, MO and can be reached out via phone at 573-443-2015 and via fax at 573-449-5886.

Location: 305 N Keene St, Columbia, MO, 65201-6623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386714194
Provider Name
Columbia Podiatry, L.l.c.
Credential
Provider Entity Type
Organization
Address
305 N Keene St, Columbia, MO, 65201-6623
Phone Number
573-443-2015
Fax Number
573-449-5886
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500767504 05 MO
institution
Provider Business Practice Location Address Details
Address
305 N Keene St
City
Columbia
State
Missouri
Zip
65201-6623
Phone Number
573-443-2015
Fax Number
573-449-5886
person
Provider Business Mailing Address Details
Address
305 N Keene St
City
Columbia
State
Missouri
Zip
65201-6623
Phone Number
573-443-2015
Fax Number
573-449-5886
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
MO000539 (Missouri)
Definition
Definition to come...
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