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Organization
SHOAL CREEK FOOT AND ANKLE CENTER LLC
Active
Organization
SHOAL CREEK FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY DIANE SEDBERRY DPM (PHYSICIAN/OWNER)
(417) 622-0648
Entity
Organization
Contact information
Practice address
4136 S MCCANN CT, SPRINGFIELD, MO 65804-7253
(417) 755-7612
Mailing address
1801 W 32ND ST STE 102, JOPLIN, MO 64804-1528
(417) 622-0648
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
06/10/2025
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