| NPI | 1417019449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER MICHELLE HASTE Office Manager 417-659-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 000807) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2024-01-24 |