| NPI | 1962523266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A CLINE Podiatrist 573-754-4584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000745) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |