SHOAL CREEK FOOT AND ANKLE CENTER LLC NPI 1346722055

NPI Information

SHOAL CREEK FOOT AND ANKLE CENTER LLC is a foot and ankle surgery podiatrist in Joplin, MO. SHOAL CREEK FOOT AND ANKLE CENTER LLC NPI is 1346722055. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 W 32ND ST STE 102
JOPLIN, MO
ZIP 64804-528
Phone: (417) 622-0648
Fax: (417) 622-0497

The provider's authorized official is Shelly Diane Sedberry .
The authorized official title is Owner/president and has the following contact phone number (417) 622-0648.

The enumeration date for this NPI number is 8/30/2018 and was last updated on 4/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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