| NPI | 1790795904 |
|---|---|
| Other Name | FOOT & ANKLE CENTER-FAIRVIEW HEIGHTS |
| Entity Type | Organization |
| Authorized Contact | LOUIS AQUINO President 314-487-9300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005263) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-12-09 |