Organization
FEET FOR MILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VEDA EVONNE LEWIS-SIMMONS D.P.M., M.H.A (OWNER)
(314) 323-0669
Entity
Organization
Contact information
Practice address
475 BROOKHAVEN CT, O FALLON, MO 63368-9632
(314) 323-0669
Mailing address
475 BROOKHAVEN CT, O FALLON, MO 63368-9632
(314) 323-0669
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
772
MO
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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