| NPI | 1174720973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DANIEL TRUONG Owner 316-619-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KS 1200351) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-06-03 |