| 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 | 2024-10-04 |