| NPI | 1104099746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BOLDRY Owner 816-455-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KS 12-00227) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |