| NPI | 1790908234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA G BEISER Office Manager 314-837-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 0000440) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MO 800) |
| 213E00000X Podiatrist (Licence: MO 2001014944) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 0000440) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 800) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2001014944) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-09-01 |