| NPI | 1316217995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE R GASTON Podiatrist/Owner 785-843-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: KS 12-00197) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |