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Organization
STEP AHEAD FOOT CARE SC
Active
Organization
STEP AHEAD FOOT CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L NELSON DPM (PARTNER PRESIDENT)
(309) 944-5546
Entity
Organization
Contact information
Practice address
241 N STATE ST, GENESEO, IL 61254-1236
(309) 944-5546
(309) 944-8267
Mailing address
241 N STATE ST, GENESEO, IL 61254-1236
(309) 944-5546
(309) 944-8267
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/01/2005
Last updated
09/04/2008
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