| NPI | 1609452150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEY HOLCOMB Director, Owner, Office Manager 515-493-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-04-14 |