Individual provider · Type 1 NPI
Shelly Diane Sedberry, D.P.M.
Foot & Ankle Surgery Podiatrist · Joplin, MO
NPI number
1770978074
Active
Practice location
1801 W 32nd St Bldg C
Joplin, MO 64804
Mailing address
PO Box 4427
Joplin, MO 64803-4427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 12-00438 (KS) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 2018010120 (MO) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Joplin
About NPI 1770978074
Shelly Diane Sedberry, D.P.M.'s National Provider Identifier is 1770978074, issued on Apr 2, 2015. 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 Apr 15, 2020.