Organization
FOOT HEALTH CENTER OF MID-MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID STEPHEN CARRON D.P.M. (PODIATRIST)
(573) 659-2376
Entity
Organization
Contact information
Practice address
3207 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0892
(573) 659-2376
(573) 893-3342
Mailing address
3207 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0892
(573) 659-2376
(573) 893-3342
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MO000667
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248520
HEALTHLINK
MO
01
—
25894
BC/BS
MO
01
—
4565615
AETNA
MO
01
—
DF1787
RAILROAD MEDICARE
MO
Enumeration date
07/26/2006
Last updated
06/21/2018
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