Individual
DR. THOMAS J KIRISITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751
Mailing address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000547
MO
Other
Enumeration date
06/09/2006
Last updated
03/24/2022
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