NPI | 1467635318 |
---|---|
Doing Business As | COUNCIL BLUFFS FOOT & ANKLE CENTER |
Entity Type | Organization |
Authorized Contact | EDWARD N PRIKASZCZIKOW Owner 712-328-0294 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IA 368) |
Enumeration Date | 2007-12-14 |
Last Update Date | 2010-11-01 |