| NPI | 1326228438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M DAILEY President 636-239-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000689) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 000689) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-06-13 |