Pedorthic Footcare Services, LLC
NPI #1578568523 in Springfield, Missouri
Provider Information
- NPI Number
- 1578568523
- Entity Type
- Organization
- Organization Name
- Pedorthic Footcare Services, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 16, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1320 W SUNSHINE ST
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65807-2345
- Phone
- (417) 869-0535
Authorized Official
- Name
- MRS. LEE A HUNTER, CERTIFIED PEDORTHIC
- Title
- MANAGING MEMBER/OWNER
- Phone
- (417) 869-0535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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