| NPI | 1366408205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS AQUINO Authorized Official 314-487-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 000806) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 0000481) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016003754) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016004898) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 2004019390) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 016005263) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 2001012399) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 000540) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016004166) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2014-11-12 |