| NPI | 1720346307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEY DRAKE Operations Manager 314-983-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 00603) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2022-06-27 |