| NPI | 1417113176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT CLAYTON GARRISON Co Owner 417-326-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 2005017337) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2009-09-24 |