| NPI | 1538884697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY DIANE SEDBERRY Physician/Owner 417-622-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-03-27 |