Organization · Type 2 NPI
Regional Foot and Ankle, LLC
Foot & Ankle Surgery Podiatrist · Bolivar, MO
NPI number
1417113176
Active
Practice location
785 E Drake St
Bolivar, MO 65613-2739
Fax (417) 777-7463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 2005017337 (MO) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1417113176
Regional Foot and Ankle, LLC's National Provider Identifier is 1417113176, issued on Aug 1, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bolivar, MO. The record was last updated on Sep 24, 2009.