Organization
WEST PLAINS FOOT AND ANKLE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK K. JOHNSON D.P.M. (OWNER AND SOLO PRACITIONER)
(417) 256-6536
Entity
Organization
Contact information
Practice address
1566 IMPERIAL CTR, WEST PLAINS, MO 65775-1818
(417) 256-6536
(417) 256-1156
Mailing address
1566 IMPERIAL CTR, WEST PLAINS, MO 65775-1818
(417) 256-6536
(417) 256-1156
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
000553
MO
Other
Enumeration date
01/30/2007
Last updated
01/04/2011
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