institution
Jefferson City Foot & Ankle Clinic, Llc
Foot & Ankle Surgery Podiatrist in Jefferson City, Missouri
NPI 1437231420

Jefferson City Foot & Ankle Clinic, Llc is a Foot & Ankle Surgery Podiatrist based in Jefferson City, MO and is specialized in Foot & Ankle Surgery. Jefferson City Foot & Ankle Clinic, Llc practices in Jefferson City, MO. The NPI Number for Jefferson City Foot & Ankle Clinic, Llc is 1437231420 and holds a License No. 2002018117 (Missouri).

The current practice location address for Jefferson City Foot & Ankle Clinic, Llc is 1705 Christy Dr, Jefferson City, MO and can be reached out via phone at 573-638-2655 and via fax at 573-634-3985. You can also correspond with Jefferson City Foot & Ankle Clinic, Llc through the mailing address at 1705 CHRISTY DR, JEFFERSON CITY, MO - 65101-5195 (mailing address contact number: 573-638-2655).

Location: 1705 Christy Dr, Jefferson City, MO, 65101-5195
institution
Provider Profile Details
NPI Number
1437231420
Provider Name
Jefferson City Foot & Ankle Clinic, Llc
Credential
Provider Entity Type
Organization
Address
1705 Christy Dr, Jefferson City, MO, 65101-5195
Phone Number
573-638-2655
Fax Number
573-634-3985
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
504916909 05 MO
000014232 01 MO MEDICARE, PTAN
institution
Provider Business Practice Location Address Details
Address
1705 Christy Dr
City
State
Zip
65101-5195
Phone Number
573-638-2655
Fax Number
573-634-3985
person
Provider Business Mailing Address Details
Address
1705 Christy Dr
City
State
Zip
65101-5195
Phone Number
573-638-2655
Fax Number
573-634-3985
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
2002018117 (Missouri)
Definition
Definition to come...
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