| NPI | 1689842759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SORRENTINO Owner 515-663-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IA 00623) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2010-06-17 |