| Organization Name: | FIRST STEP FOOT AND ANKLE |
| NPI Number: | 1093019713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER L JOHNSON (DOCTOR OF PODIATRIC MEDICINE) |
| Mailing Address: | 806 Hwy 72 E Rolla |
| State: | MO US |
| Postal Code: | 65401 |
| Phone Number: | 5735780939 |
| Fax Number: | 5734266051 |
| NPI Enumeration Date: | 01/10/2011 |
| NPI Last Update Date: | 01/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 000803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |