| NPI | 1912217506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP JOHN GREENFIELD President 515-576-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IA 00793) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2012-07-02 |