Organization
ANKLE AND FOOT CENTERS OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKILIS MIKE THEOHARIDIS DPM (PRESIDENT)
(816) 436-7900
Entity
Organization
Contact information
Practice address
530 PARK LN, CHILLICOTHE, MO 64601-1560
(660) 646-2245
(660) 646-6088
Mailing address
407 NE 76TH TER, GLADSTONE, MO 64118-1708
(816) 436-7900
(816) 436-0999
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000747
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505265017
—
MO
Enumeration date
07/21/2008
Last updated
03/16/2021
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