Organization
IFIT FOOT & ANKLE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH COSTELLO D.P.M. (PODIATRIST)
(660) 342-0175
Entity
Organization
Contact information
Practice address
2121 N BALTIMORE ST, SUITE B, KIRKSVILLE, MO 63501-5110
(660) 956-4291
Mailing address
1920 SALTER PL, KIRKSVILLE, MO 63501-5165
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2014003755
MO
Other
Enumeration date
01/15/2016
Last updated
06/03/2022
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