NPI | 1437231420 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHON W STRONG Owner 573-638-2655 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2002018117) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2012-08-28 |