Organization
CRYSTAL CITY FOOT & ANKLE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JAMES LOUCKS DPM (PRESIDENT)
(636) 931-9600
Entity
Organization
Contact information
Practice address
1557 ROBERT THOMPSON LN, FESTUS, MO 63028-2323
(636) 931-9600
(636) 933-9116
Mailing address
1557 ROBERT THOMPSON LN, FESTUS, MO 63028-2323
(636) 931-9600
(636) 933-9116
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000792
MO
Other
Enumeration date
07/28/2006
Last updated
08/21/2007
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