| NPI | 1144372491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY ROSSO Office Manager 314-966-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 213E00000X Podiatrist | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-06-26 |