| NPI | 1033484175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ANGELO BRICKHOUSE Owner 314-381-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 2008026233) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2020-05-11 |