| NPI | 1164543591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A CLINE Podiatrist Owner 573-221-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 0000745) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |