| NPI | 1942427026 |
|---|---|
| Other Name | FOOT & ANKLE CENTER FAIRVIEW HEIGHTS |
| Entity Type | Organization |
| Authorized Contact | LOUIS AQUINO Owner 618-632-4885 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-12-24 |