Organization
COMPREHENSIVE FOOT CARE FOR ALL AGES, INC.
Active
Other names
Comprehensive Foot Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY G LOWHORN RN (ADMINISTRATOR)
(314) 983-4034
Entity
Organization
Contact information
Practice address
3009 N BALLAS RD, STE 100 B, SAINT LOUIS, MO 63131-2322
(314) 983-4034
(314) 432-3629
Mailing address
3009 N BALLAS RD, STE 100 B, SAINT LOUIS, MO 63131-2322
(314) 983-4034
(314) 432-3629
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000501
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501000806
—
MO
Enumeration date
05/26/2006
Last updated
10/09/2012
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