| NPI | 1912278490 |
|---|---|
| Doing Business As | EAST VILLAGE FOOT & ANKLE SURGEONS |
| Entity Type | Organization |
| Authorized Contact | COLLIN EUGENE PEHDE Sole Member/Owner 515-282-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 00782) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-09-20 |