| NPI | 1649453887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINCOLN RANDALL NOWLIN Podiatrist/Owner 660-429-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO MO000757) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2010-05-10 |