| NPI | 1326121633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL KUNZE Owner Manager Physician 417-358-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MO 000634) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-10-01 |