| NPI | 1669693917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT J MANDRACCHIA Chief Medical Officer 515-282-2562 |
| Organization Subpart ? | |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IA 000581) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |