Family Foot Clinic LLC
Organization Active NPI Primary Podiatric Medicine Podiatrist · Macon, MO
NPI 1336310341 · NPPES record last updated Jan 22, 2013
Key facts
- NPI
- 1336310341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Podiatric Medicine Podiatrist 213EP1101X
- Legal business name
- FAMILY FOOT CLINIC LLC
- Practice address
- 106 Butler St Ste a
Macon, MO 63552-1629 - Phone
- (660) 385-4464
- Fax
- (660) 385-1449
- NPI assigned
- Mar 18, 2008
- Organization subpart
- No
Authorized official
- Name
- Kathy Beauchamp
- Title
- Office Manager
- Phone
- (660) 385-4464
Practitioners 2
-
Jonathon Lee Fallis, DPM
National Provider Directory
Locations
106 Butler St
Ste A
Macon, MO 63552
Phone (660) 385-3118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist |
213EP1101X | Yes | ||
| Foot & Ankle Surgery Podiatrist |
213ES0103X |
Addresses
Primary practice location
106 Butler St Ste a
Macon, MO 63552-1629
Mailing address
PO Box 447
Macon, MO 63552-0447
Phone (660) 385-4464
Other providers in Macon, MO
- Don Delrosario
- Dialysis Clinic Inc
- Alison Dowling
- Katherine Gale Ervie
- Family Foot Clinic
- Bradley Robert Freidel
- Christopher A Froman
- Iris Ladawn Gaerditz
- Lucy Gaston
- Laurie Gilchrist
All providers in Macon, MO · Primary Podiatric Medicine Podiatrist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.