Organization
SEDALIA FOOT CLINIC PC
Active
Organization
SEDALIA FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA A BROWN (OFFICE MANAGER)
(660) 826-5897
Entity
Organization
Contact information
Practice address
519 E 13TH ST, SEDALIA, MO 65301-5909
(660) 826-5897
(660) 826-4691
Mailing address
519 E 13TH ST, SEDALIA, MO 65301-5909
(660) 826-5897
(660) 826-4691
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000587
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366092807
—
MO
Enumeration date
06/25/2006
Last updated
06/23/2015
Update your record
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