| NPI | 1386844967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY J. FORNELLI Owner 316-687-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KS 1200279) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2012-11-08 |