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Organization
MISSOURI FOOT AND ANKLE CLINICS, P.C.
Active
Organization
MISSOURI FOOT AND ANKLE CLINICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RAYMOND HANON DPM (OWNER)
(816) 224-8660
Entity
Organization
Contact information
Practice address
1136 W 40 HWY, BLUE SPRINGS, MO 64015-4610
(816) 224-8660
(816) 200-9005
Mailing address
256 SW WINTERPARK CIR, LEES SUMMIT, MO 64081-4013
(816) 224-8660
(816) 200-9005
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000774
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4349950001
DMERC
—
05
—
506023506
—
MO
01
—
CJ9038
RR MCR
—
Enumeration date
09/12/2006
Last updated
06/25/2010
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