| NPI | 1831761634 |
|---|---|
| Other Name | MISSOURI VALLEY FOOT AND ANKLE CLINIC PLLC |
| Entity Type | Organization |
| Authorized Contact | FRANCISCO ANTONIO TELLO CEO/Dpm 701-751-2641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-09-13 |