Jacob B Goldstein Dpm LLC

NPI #1417453168 in Ottawa, Kansas

Provider Information

NPI Number: 1417453168
Entity Type: Organization
Organization Name: Jacob B Goldstein Dpm LLC
Subpart: Yes (part of a larger organization)
Parent Organization: FOOT PAIN CENTER OF KANSAS CITY
Primary Specialty: Podiatrist
Enumeration Date: Apr 2, 2018
Last Updated: Apr 2, 2018

Practice Location

Address: 1402 S MAIN ST
City: Ottawa
State: Kansas
ZIP Code: 66067-3529
Phone: (785) 893-0494

Authorized Official

Name: JACOB B. GOLDSTEIN, DPM
Title: OWNER
Phone: (913) 856-8150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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