Organization
FAMILY FOOT AND ANKLE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIC STAFFORD DPM (OWNER)
(314) 298-8777
Entity
Organization
Contact information
Practice address
11352 DORSETT RD # A, MARYLAND HEIGHTS, MO 63043-3412
(314) 289-8777
Mailing address
11352 DORSETT RD # A, MARYLAND HEIGHTS, MO 63043-3412
(314) 289-8777
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0000713
MO
Other
Enumeration date
06/08/2006
Last updated
08/22/2020
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