Organization
MISSOURI FOOT AND ANKLE CLINICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RAYMOND HANON DPM (OWNER)
(816) 224-8660
Entity
Organization
Contact information
Practice address
1136 W 40 HWY, BLUE SPRINGS, MO 64015-4610
(816) 224-8660
(816) 200-9005
Mailing address
256 SW WINTERPARK CIR, LEES SUMMIT, MO 64081-4013
(816) 224-8660
(816) 200-9005
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000774
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4349950001
DMERC
—
05
—
506023506
—
MO
01
—
CJ9038
RR MCR
—
Enumeration date
09/12/2006
Last updated
06/25/2010
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