| NPI | 1093260176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL HANAWALT Podiatrist/Owner 314-434-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 2015014632) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-02-01 |