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Regional Foot And Ankle, Llc
Foot & Ankle Surgery Podiatrist in Bolivar, Missouri
NPI 1417113176

Regional Foot And Ankle, Llc is a Foot & Ankle Surgery Podiatrist based in Bolivar, MO and is specialized in Foot & Ankle Surgery. Regional Foot And Ankle, Llc practices in Bolivar, MO. The NPI Number for Regional Foot And Ankle, Llc is 1417113176 and holds a License No. 2005017337 (Missouri).

The current practice location address for Regional Foot And Ankle, Llc is 785 E Drake St, Bolivar, MO and can be reached out via phone at 417-326-6200 and via fax at 417-777-7463.

Location: 785 E Drake St, Bolivar, MO, 65613-2739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417113176
Provider Name
Regional Foot And Ankle, Llc
Credential
Provider Entity Type
Organization
Address
785 E Drake St, Bolivar, MO, 65613-2739
Phone Number
417-326-6200
Fax Number
417-777-7463
Provider Enumeration Date
08/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
307420505 05 MO
institution
Provider Business Practice Location Address Details
Address
785 E Drake St
City
Bolivar
State
Missouri
Zip
65613-2739
Phone Number
417-326-6200
Fax Number
417-777-7463
person
Provider Business Mailing Address Details
Address
785 E Drake St
City
Bolivar
State
Missouri
Zip
65613-2739
Phone Number
417-326-6200
Fax Number
417-777-7463
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
2005017337 (Missouri)
Definition
Definition to come...
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