| NPI | 1467637959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON LEE GROSSMAN President 816-942-1795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000365) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-05-08 |