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Organization

COMPLETE FOOT AND ANKLE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LINCOLN RANDALL NOWLIN DPM (PODIATRIST/OWNER)
(660) 429-2626
Entity
Organization

Contact information

Practice address
521 E YOUNG AVE, WARRENSBURG, MO 64093-1228
(660) 429-2626
(660) 429-3356
Mailing address
521 E YOUNG AVE, WARRENSBURG, MO 64093-1228
(660) 429-2626
(660) 429-3356

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MO000757
MO

Other

Enumeration date
12/11/2007
Last updated
05/10/2010
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