Organization
HASTE PODIATRY CLINICS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER MICHELLE HASTE (OFFICE MANAGER)
(417) 659-9395
Entity
Organization
Contact information
Practice address
1617 W 26TH ST STE A, JOPLIN, MO 64804-0368
(417) 659-9395
(417) 659-9695
Mailing address
1617 W 26TH ST STE A, JOPLIN, MO 64804-0368
(417) 659-9395
(417) 659-9695
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000807
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626280101
—
MO
01
—
DN6307
MEDICARE RR
MO
Enumeration date
12/15/2006
Last updated
01/24/2024
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