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Organization
ANKLE AND FOOT CENTERS OF MISSOURI
Active
Organization
ANKLE AND FOOT CENTERS OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKILIS MIKE THEOHARIDIS DPM (PRESIDENT)
(816) 436-7900
Entity
Organization
Contact information
Practice address
530 PARK LN, CHILLICOTHE, MO 64601-1560
(660) 646-2245
(660) 646-6088
Mailing address
407 NE 76TH TER, GLADSTONE, MO 64118-1708
(816) 436-7900
(816) 436-0999
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000747
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505265017
—
MO
Enumeration date
07/21/2008
Last updated
03/16/2021
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