NPI | 1518938919 |
---|---|
Former Legal Business Name | TESSON FERRY FOOT AND ANKLE INC. |
Entity Type | Organization |
Authorized Contact | LINDSAY D BARTH President 618-462-9695 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 00724) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-02-01 |
Last Update Date | 2024-10-29 |