Organization
FOOT CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI DAVIS DPM (PHYSICIAN)
(816) 547-6334
Entity
Organization
Contact information
Practice address
4601 W 109TH ST STE 314, OVERLAND PARK, KS 66211-1315
(913) 364-1314
(913) 364-1160
Mailing address
713 SW ESTATES DR, LEES SUMMIT, MO 64082-4552
(816) 547-6334
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
01/10/2018
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