West Plains Foot and Ankle Clinic PC

NPI #1922144344 in West Plains, Missouri

Provider Information

NPI Number
1922144344
Entity Type
Organization
Organization Name
West Plains Foot and Ankle Clinic PC
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Jan 30, 2007
Last Updated
Jan 4, 2011

Practice Location

Address
1566 IMPERIAL CTR
ZIP Code
65775-1818
Phone
(417) 256-6536

Authorized Official

Name
DR. MARK K. JOHNSON, D.P.M.
Title
OWNER AND SOLO PRACITIONER
Phone
(417) 256-6536

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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