| NPI | 1770714099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M JOHNSON Office Manager 319-233-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 00449) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-10-01 |