Individual
NATALIE MOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
717 INSIGHT AVE, SUITE 100, O'FALLON, IL 62269
(618) 277-9533
Mailing address
717 INSIGHT AVE, SUITE 100, O'FALLON, IL 62269
(618) 277-9533
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016.005755
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006548
PA
Other
Enumeration date
06/29/2014
Last updated
10/08/2020
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