Organization
MISSOURI VALLEY FOOT & ANKLE CLINIC
Active
Other names
Missouri Valley Foot and Ankle Clinic PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO ANTONIO TELLO DPM (CEO/DPM)
(701) 751-2641
Entity
Organization
Contact information
Practice address
606 1ST ST NW, MANDAN, ND 58554-3121
(701) 751-2641
Mailing address
606 1ST ST NW, MANDAN, ND 58554-3121
(701) 751-2641
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465351
—
ND
Enumeration date
07/12/2021
Last updated
09/13/2021
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