NPI | 1487972873 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA J ASHER Credentialin Splecialist 816-587-0522 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 2000161864) |
Enumeration Date | 2010-05-10 |
Last Update Date | 2010-05-10 |