Organization
ANKLE AND FOOT CENTERS OF MISSOURI P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKILIS MIKE THEOHARIDIS DPM (PRESIDENT)
(816) 436-7900
Entity
Organization
Contact information
Practice address
407 NE 76TH TER, GLADSTONE, MO 64118-1708
(816) 436-7900
(816) 436-0999
Mailing address
407 NE 76TH TER, GLADSTONE, MO 64118-1708
(816) 436-7900
(816) 436-0999
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000747
MO
213E00000X
Podiatrist
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365265008
—
MO
05
—
365265016
—
MO
05
—
505265009
—
MO
05
—
505265017
—
MO
01
—
CB6767
RAILROAD
—
01
—
CB6768
RAILROAD AHN
—
Enumeration date
07/03/2006
Last updated
03/29/2022
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