| NPI | 1780827535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE M MASTELLER Office Manager 319-277-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 000836) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2010-10-13 |