| NPI | 1932139243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE MASTELLER Office Manager 319-277-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-02-11 |