| NPI | 1235744749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN NELSON Owner 515-444-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2021-03-24 |