Organization
FAMILY FOOT CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E TEELA DPM (PHYSICIAN)
(816) 523-6050
Entity
Organization
Contact information
Practice address
6724 TROOST AVE, SUITE 106, KANSAS CITY, MO 64131-1500
(816) 523-6050
(816) 523-3741
Mailing address
6724 TROOST AVE, SUITE 106, KANSAS CITY, MO 64131-1500
(816) 523-6050
(816) 523-3741
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2006039218
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38089011
BLUE CROSS BLUE SHIELD
—
01
—
DF8774
RAILROAD
MO
Enumeration date
01/21/2007
Last updated
12/31/2007
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