| NPI | 1316064488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL DAVID FOSTER Owner 816-246-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO 12-00320) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MO 2000161864) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2012-03-19 |