Pedorthic Footcare Services, Llc

NPI Provider: 1578568523
Contact Name: Hunter A lee
Position: managing member/owner
Phone: (417) 869-0535

Pedorthic Footcare Services, Llc Information:

Pedorthic Footcare Services, Llc organization have npi 1578568523, taxonomy code is 335E00000X with license number is 101235496 in . This Business address located in 1320 W Sunshine St, Springfield, MO 65807 Missouri.

Practice Location
Address: 1320 W Sunshine St, Springfield, MO 65807
Phone: (417) 869-0535

Business Location
Address: 1320 W Sunshine St, Springfield, MO 65807
Phone: (417) 869-0535
Fax: (417) 869-6669

Taxonomy

Taxonomy Code: 335E00000X

License Number: 101235496

License Number of State: VA

Primary Taxonomy Switch: Y

Enumeration Date: 6/16/2005

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