NPI | 1700917960 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL ADAMOVSKY President 636-477-7300 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2001015897) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2021-05-19 |