Organization
MIDWEST FOOT & ANKLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON R. GOLDSMITH M.D. (PHYSICIAN)
(402) 933-8540
Entity
Organization
Contact information
Practice address
7643 CASS ST, OMAHA, NE 68114-3623
(402) 933-8540
(402) 933-8578
Mailing address
7643 CASS ST, OMAHA, NE 68114-3623
(402) 933-8540
(402) 933-8578
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
304
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025816600
—
NE
01
—
27025
BS PROVIDER
NE
Enumeration date
12/02/2009
Last updated
01/13/2012
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