NPI | 1619017548 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK P. COMESS Owner Podiatrist 314-432-5683 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MO 000410) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2020-08-22 |