| NPI | 1235202136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D HARNESS Owner 314-473-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2004024287) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-01-15 |