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Organization
FOOT AND ANKLE SPECIALISTS OF WESTERN MISSOURI LLC
Active
Organization
FOOT AND ANKLE SPECIALISTS OF WESTERN MISSOURI LLC
Active
Parent organization
FOOT AND ANKLE SPECIALISTS OF WESTERN MISSOURI LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOOT AND ANKLE SPECIALISTS OF WESTERN MISSOURI LLC
Authorized official
DR. RICK DEAN GRAYSON DPM (OWNER)
(660) 584-2927
Entity
Organization
Contact information
Practice address
12 W 19TH ST, HIGGINSVILLE, MO 64037-1507
(660) 584-2927
(660) 584-7444
Mailing address
12 W 19TH ST, HIGGINSVILLE, MO 64037-1507
(660) 584-2927
(660) 584-7444
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000672
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307862904
—
MO
Enumeration date
11/06/2007
Last updated
05/22/2008
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