| NPI | 1093030173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT N OSDYKE Owner 636-207-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000427) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |