| NPI | 1124079728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E SALOCKER Office Manager 515-576-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IA 00345) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-05-21 |