Organization
MISSOURI FOOT AND ANKLE INSTITUTE
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
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000689
MO
332B00000X
Durable Medical Equipment & Medical Supplies
000689
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306649021
—
MO
Enumeration date
11/06/2007
Last updated
06/13/2008
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