| NPI | 1720125768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL T WOOD Owner 314-921-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000820) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-02-26 |