# MISSOURI PODIATRIC SURGICARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447425988
- **Authorized official:** DR. JOHN M DAILEY DPM, MBA, FACFAOM (PRESIDENT)
- **Authorized official phone:** (636) 239-0018

## Contact information

- **Practice address:** 851 E 5TH ST, SUITE 228, WASHINGTON, MO 63090-3135
- **Practice address phone:** (636) 239-0018
- **Mailing address:** 851 E 5TH ST, SUITE 228, WASHINGTON, MO 63090-3135
- **Mailing address phone:** (636) 239-0018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 000689 | MO | Yes |
| 261QP1100X | Podiatric Clinic/Center | 000689 | MO | — |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 04/25/2008