Organization Name: | RWL, LLC |
NPI Number: | 1104897727 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REED LUIKAART (OWNER) |
Mailing Address: | 207 Creekside Office Dr Wentzville |
State: | MO US |
Postal Code: | 633853290 |
Phone Number: | 6363323381 |
Fax Number: | 6363273315 |
NPI Enumeration Date: | 01/31/2006 |
NPI Last Update Date: | 10/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 2000157310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |