Cmh Foot and Ankle Clinic

NPI #1922212919 in Bolivar, Missouri

Provider Information

NPI Number: 1922212919
Entity Type: Organization
Organization Name: Cmh Foot and Ankle Clinic
Primary Specialty: Podiatrist
Enumeration Date: May 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1630 KILLINGSWORTH AVE
Address 2: SUITE 2A
City: Bolivar
State: Missouri
ZIP Code: 65613-2282
Phone: (417) 326-6200

Authorized Official

Name: SHIRLEY WESTMARK
Title: ADMINISTRATIVE SECRETARY
Phone: (417) 328-6545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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