| NPI | 1255613642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA M KOZLOWSKI President 636-938-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-12-08 |