Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regional Foot and Ankle, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1417113176

Regional Foot and Ankle, LLC is a Foot & Ankle Surgery Podiatrist in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

785 E Drake St
Bolivar, MO 65613-2739
Phone: (417) 326-6200
Fax: (417) 777-7463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 2005017337 (MO)

Record details

NPI number1417113176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Garrison — Co-Owner · (417) 326-6200
NPI enumeratedAugust 1, 2008
Last updated in NPPESSeptember 24, 2009
Mailing address785 E Drake St, Bolivar, MO 65613-2739

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