Haste Podiatry Clinics, Pc

NPI 1417019449 - Podiatrist - 213E00000X

NPI Details
NPI 1417019449
Enumeration Date 12/15/2006
Last Updated 08/09/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEFFREY L JEFFREY
Position PRESIDENT
Phone (417) 659-9395
Fax (417) 659-9695
Practice Location
1501 E 20TH ST
JOPLIN MO, 64804-0928, US
Phone (417) 659-9395
Fax (417) 659-9695
Business Location
1501 E 20TH ST
JOPLIN MO, 64804-0928, US
Phone
Fax
Toxanomy
Taxonomy Code 213E00000X
License State Missouri
License Number 000807
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According to our database, Haste Podiatry Clinics, Pc NPI is 1417019449, taxonomy code is 213E00000X and license number is 000807, license state is located at Missouri. Haste Podiatry Clinics, Pc physically located at 1501 E 20th St, Joplin MO, 64804-0928. NPI Number 1033115704 has the healthcare provider type.

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1417019449 NPI number is provided on an as is basis without warranty of any kind. 1417019449 is maintained by the National Plan & Provider Enumeration System. The contents of Haste Podiatry Clinics, Pc are for informational purposes only.