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Organization
ANKLE AND FOOT INSTITUTE OF MISSOURI P.C.
Active
Organization
ANKLE AND FOOT INSTITUTE OF MISSOURI P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD FELIX WITTOCK III DPM (PRESIDENT)
(636) 717-1100
Entity
Organization
Contact information
Practice address
1011 BOWLES AVENUE, SUITE 123, FENTON, MO 63026
(636) 717-1100
(636) 717-1113
Mailing address
1011 BOWLES AVENUE, SUITE 123, FENTON, MO 63026
(636) 717-1100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MO2002003866
MO
Other
Enumeration date
12/23/2008
Last updated
12/03/2014
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