| NPI | 1093019713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L JOHNSON Doctor Of Podiatric Medicine 573-578-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MO 000803) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |