| NPI | 1447425988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M DAILEY President 636-239-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 000689) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: MO 000689) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |