| NPI | 1871863662 |
|---|---|
| Former Legal Business Name | TESSON FERRY FOOT & ANKLE, INC. |
| Entity Type | Organization |
| Authorized Contact | LINDSAY BARTH President 618-462-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2015-11-18 |