| NPI | 1295972339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON HAYS President 314-409-2759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 2006005592) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-07-31 |