Special Care Podiatry of Missouri, LLC

NPI #1972922060 in Jackson, Missouri

Provider Information

NPI Number: 1972922060
Entity Type: Organization
Organization Name: Special Care Podiatry of Missouri, LLC
Primary Specialty: Podiatrist
Enumeration Date: Apr 16, 2014
Last Updated: Aug 18, 2014

Practice Location

Address: 3714 KIDRON ST
City: Jackson
State: Missouri
ZIP Code: 63755-3345
Phone: (502) 244-2441

Authorized Official

Name: LEAH FRANCIS
Title: CREDENTIALING COORDINATOR
Phone: (502) 244-2441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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