Tri Lakes Podiatry Pc

NPI 1275758351 - Podiatrist - 213E00000X

NPI Details
NPI 1275758351
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEFFREY P JEFFREY
Position OWNER DOCTOR
Phone (417) 724-3100
Fax (417) 725-2985
Practice Location
105 S RIDGECREST AVE
NIXA MO, 65714-7807, US
Phone (417) 724-3100
Fax (417) 725-2985
Business Location
PO BOX 870
300 WEST MT VERNON SUITE G
NIXA MO, 65714-0870, US
Phone (417) 725-9995
Fax (417) 725-2985
Toxanomy
Taxonomy Code 213E00000X
License State Missouri
License Number 2000165040
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According to our database, Tri Lakes Podiatry Pc NPI is 1275758351, taxonomy code is 213E00000X and license number is 2000165040, license state is located at Missouri. Tri Lakes Podiatry Pc physically located at 105 S Ridgecrest Ave, Nixa MO, 65714-7807. NPI Number 1033115704 has the healthcare provider type.

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1275758351 NPI number is provided on an as is basis without warranty of any kind. 1275758351 is maintained by the National Plan & Provider Enumeration System. The contents of Tri Lakes Podiatry Pc are for informational purposes only.