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Organization

ADVANCED FOOT CARE CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID ALAN SAPPERSTEIN DPM (PRESIDENT)
(816) 525-2900
Entity
Organization

Contact information

Practice address
828 SW BLUE PKWY, LEES SUMMIT, MO 64063-3805
(816) 525-2900
(816) 554-3991
Mailing address
828 SW BLUE PKWY, LEES SUMMIT, MO 64063-3805
(816) 525-2900
(816) 554-3991

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
MO461
MO
261QP1100X
Podiatric Clinic/Center
MO461
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40430016
BLUE CROSS/BLUE SHIELD
MO
01
DN5983
RR MEDICARE
MO
Enumeration date
11/28/2007
Last updated
01/03/2014
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