| NPI | 1316089469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SAMUEL STEIN Owner 636-928-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000347) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2022-06-14 |