Organization · Type 2 NPI

Shoal Creek Foot and Ankle Center LLC

Foot & Ankle Surgery Podiatrist · Springfield, MO

NPI number 1538884697 Active

Practice location

4136 S Mccann Ct
Springfield, MO 65804-7253

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

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

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About NPI 1538884697

Shoal Creek Foot and Ankle Center LLC's National Provider Identifier is 1538884697, issued on Oct 11, 2022. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Springfield, MO. The record was last updated on Jun 10, 2025.