| NPI | 1831335819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FELIX WITTOCK President 636-717-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO MO2002003866) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2014-12-03 |