Organization
VAFA FERDOWSIAN DPM, P.A.
Active
Other names
Foot and Ankle Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VAFA N FERDOWSIAN DPM (OWNER)
(501) 327-3668
Entity
Organization
Contact information
Practice address
805 N KENTUCKY AVE STE 3, WEST PLAINS, MO 65775-2045
(870) 508-4000
(870) 508-4006
Mailing address
PO BOX 10607, CONWAY, AR 72034-0010
(501) 327-3668
(501) 327-3664
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518259498
—
MO
Enumeration date
03/22/2019
Last updated
06/11/2019
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