NPI | 1225377930 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON D CAMPBELL Co Owner 515-867-7891 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 5461147-0501) |
Enumeration Date | 2013-02-01 |
Last Update Date | 2025-02-10 |