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Organization

METRO FOOT SPECIALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRA M KOZLOWSKI DPM, (DPM, FACFAS)
(636) 938-5006
Entity
Organization

Contact information

Practice address
521 N VIRGINIA AVE, EUREKA, MO 63025-1115
(636) 938-5006
(636) 587-3774
Mailing address
62 E NORTH ST STE 101, EUREKA, MO 63025-1205
(636) 938-5006
(636) 587-3774

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
367176203
MO
05
367346509
MO
Enumeration date
01/02/2006
Last updated
11/04/2016
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