| NPI | 1982810222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA LARSON Office Manager 816-842-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MO 00739) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-12-17 |