Organization
MCSHANE FOOT AND ANKLE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK ANDERSON MCSHANE DPM (OWNER)
(417) 889-3338
Entity
Organization
Contact information
Practice address
1834 S STEWART AVE, SPRINGFIELD, MO 65804
(417) 889-3338
(417) 889-0953
Mailing address
1834 S STEWART AVE, SPRINGFIELD, MO 65804-2519
(417) 889-3338
(417) 889-0953
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000632
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500359708
—
MO
01
—
9932
BCBS
MO
Enumeration date
10/04/2007
Last updated
06/18/2019
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