NPI | 1942463575 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKS YOUNG Office Manager 913-284-1555 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KS 1200368) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2021-06-14 |