Individual provider · Type 1 NPI
Jim Paul Licandro, DPM
Podiatrist · Long Grove, IA
Practice location
405 Woodlawn Rd
Long Grove, IA 52756
Fax (563) 285-5446
Mailing address
5261 Boulder Dr Apt D
West Des Moines, IA 50265-7823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist Primary | 213E00000X | 00705 (IA) |
Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Another provider at this address
About NPI 1609873538
Jim Paul Licandro, DPM's National Provider Identifier is 1609873538, issued on Jul 7, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Long Grove, IA. The record was last updated on Jul 22, 2018.