| NPI | 1659685048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DANIEL MURPHEY Member 314-691-7895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MO 2010025111) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |