Organization
MISSOURI PODIATRIC SURGICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M DAILEY DPM, MBA (PRESIDENT)
(636) 239-0018
Entity
Organization
Contact information
Practice address
851 E 5TH ST, SUITE 228, WASHINGTON, MO 63090-3135
(636) 239-0018
(636) 239-0081
Mailing address
851 E 5TH ST, SUITE 228, WASHINGTON, MO 63090-3135
(636) 239-0018
(636) 239-0081
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000689
MO
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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