| NPI | 1578702320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK MATTHEWS Podiatrist 314-741-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 2005012314) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2011-09-08 |