| NPI | 1205112497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA D FOSTER Billing/Credentialing 816-554-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NM 272) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |