NPI | 1386714194 |
---|---|
Entity Type | Organization |
Authorized Contact | KAY A LINDSEY Office Manager 573-443-2015 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO MO000539) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2012-10-16 |