| NPI | 1457660896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET FRANCIS Credentilaing COO Rdinator 636-669-2268 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |