Organization
GREAT PLAINS PODIATRY CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA THORNTON DPM (OWNER)
(309) 973-6754
Entity
Organization
Contact information
Practice address
409 NW 9TH AVE STE 100, ALEDO, IL 61231-1258
(309) 582-9440
Mailing address
PO BOX 172, ALEDO, IL 61231-0172
(309) 582-9440
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
04/23/2024
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