| NPI | 1760650725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M DAUGHERTY Owner 573-335-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2004013247) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |