| Organization Name: | EDWARD A. CLINE, DPM, PC |
| NPI Number: | 1962523266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD A CLINE (PODIATRIST) |
| Mailing Address: | 2305 Georgia St Louisiana |
| State: | MO US |
| Postal Code: | 633532559 |
| Phone Number: | 5737544584 |
| Fax Number: | 5737545280 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 000745 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |