| NPI | 1114068988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEDA E LEWIS SIMMONS Owner 314-323-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 772) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-12-21 |