| NPI | 1730233743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE L WEISS Asst. Secretary/Treasurer 314-849-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000612) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-07-29 |