Family Foot Clinic

NPI #1104015189 in Macon, Missouri

Provider Information

NPI Number: 1104015189
Entity Type: Organization
Organization Name: Family Foot Clinic
Primary Specialty: Podiatrist
Enumeration Date: Oct 16, 2007
Last Updated: Jul 27, 2011

Practice Location

Address: 1501 N MISSOURI ST
City: Macon
State: Missouri
ZIP Code: 63552-1969
Phone: (660) 385-4464

Authorized Official

Name: KATHY BEAUCHAMP
Title: OFFICE MANAGER
Phone: (660) 385-4464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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