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Organization
MCSHANE FOOT AND ANKLE CLINIC, LLC
Active
Organization
MCSHANE FOOT AND ANKLE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK ANDERSON MCSHANE DPM (OWNER)
(417) 889-3338
Entity
Organization
Contact information
Practice address
1834 S STEWART AVE, SPRINGFIELD, MO 65804
(417) 889-3338
(417) 889-0953
Mailing address
1834 S STEWART AVE, SPRINGFIELD, MO 65804-2519
(417) 889-3338
(417) 889-0953
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000632
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500359708
—
MO
01
—
9932
BCBS
MO
Enumeration date
10/04/2007
Last updated
06/18/2019
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