| NPI | 1023278785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN KIRISITS President 314-644-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000547) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |