| NPI | 1730213208 |
|---|---|
| Doing Business As | NE MISSOURI FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBORAH A K HOLTE Owner 660-665-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 000684) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-06-17 |