| NPI | 1316100290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE LIU Podiatrist 636-928-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000758) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |