NPI | 1306296447 |
---|---|
Entity Type | Organization |
Authorized Contact | DENIS MIKHLIN Owner 314-216-0838 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 213E00000X Podiatrist |
Enumeration Date | 2016-06-20 |
Last Update Date | 2016-06-28 |