NPI | 1700180346 |
---|---|
Former Legal Business Name | TESSON FERRY FOOT & ANKLE, INC. |
Entity Type | Organization |
Authorized Contact | LINDSAY D BARTH Owner 618-462-9695 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-12-22 |
Last Update Date | 2013-01-02 |