| NPI | 1982069233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD JAFFE Owner/Podiatrist 314-434-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 000414) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 2015014632) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |