Organization · Type 2 NPI

Northeast Iowa Podiatry PC

Foot & Ankle Surgery Podiatrist · Waterloo, IA

NPI number 1356387799 Active

Practice location

44 Brookeridge Dr
Waterloo, IA 50701-5214

Fax (319) 234-4938

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X00677 (IA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1356387799

Northeast Iowa Podiatry PC's National Provider Identifier is 1356387799, issued on Jun 22, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Waterloo, IA. The record was last updated on Sep 23, 2014.