| NPI | 1073979845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL POORE Owner 515-864-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: ND 79) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |