| 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 |