Organization · Type 2 NPI

Shoal Creek Foot and Ankle Center LLC

Foot & Ankle Surgery Podiatrist · Joplin, MO

NPI number 1346722055 Active

Practice location

1801 W 32nd St Ste 102
Joplin, MO 64804-1528

Fax (417) 622-0497

Mailing address

PO Box 4427
Joplin, MO 64803-4427

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X2018010120 (MO)

Foot & Ankle Surgery Podiatrist: Definition to come...

3 other providers at this address

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About NPI 1346722055

Shoal Creek Foot and Ankle Center LLC's National Provider Identifier is 1346722055, issued on Aug 30, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Joplin, MO. The record was last updated on Jun 10, 2025.