PREMIER PODIATRY

LONG GROVE, IA
NPI1720445281
Entity TypeOrganization
Authorized ContactJAMES P LICANDRO
Owner/Physician
563-340-4387
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: IA  0705)
Enumeration Date2016-01-28
Last Update Date2022-07-21
Business Address
PREMIER PODIATRY
405 WOODLAWN RD
LONG GROVE, IA 52756-8745
Phone number: 832-425-7457
Mailing Address
PREMIER PODIATRY
PO BOX 2671
DAVENPORT, IA 52809-2671
Phone number: 832-425-7457