| NPI | 1215020896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW B RICHINS President 417-782-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MO 2006009605) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2006009605) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MO 2006009605) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-06-25 |