| NPI | 1750579736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ANDERSON MCSHANE Owner 417-889-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000632) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2019-06-18 |