Organization
MID-WEST PODIATRY & ASSOCIATES, L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIEU NGUYEN (ADMINISTRATOR)
(314) 432-1903
Entity
Organization
Contact information
Practice address
500 W PINE ST, FARMINGTON, MO 63640-1426
(573) 756-8986
(573) 756-0419
Mailing address
500 W PINE ST, FARMINGTON, MO 63640-1426
(573) 756-8986
(573) 756-0419
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365905405
—
MO
05
—
365905413
—
MO
Enumeration date
12/27/2006
Last updated
11/14/2016
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