NPI | 1336509454 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN SHERRY Podiatrist 319-331-5194 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IA IA00426) |
Enumeration Date | 2016-03-02 |
Last Update Date | 2016-03-02 |