| NPI | 1427213354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKILIS MIKE THEOHARIDIS President 816-436-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 000747) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2021-03-16 |