Organization
FEETFEELFINEPODIATRYSERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY LAMAR SCOTTON DPM (PHYSICIAN)
(678) 800-3273
Entity
Organization
Contact information
Practice address
2929 UNIVERSITY AVE SE APT 514, MINNEAPOLIS, MN 55414-4435
(678) 800-3273
Mailing address
2929 UNIVERSITY AVE SE APT 514, MINNEAPOLIS, MN 55414-4435
(678) 800-3273
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538460555
—
PA
Enumeration date
05/25/2022
Last updated
05/25/2022
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