NPI | 1003059841 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXANNE M MASTELLER Office Manager 319-277-4508 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 00423) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2009-04-09 |