is a Foot & Ankle Surgery in Fort Dodge, Iowa. practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for is 1124079728. The last update date is .
's current location address is 2700 1st Ave S Ste 400, Fort Dodge, Iowa. You can contact this provider via phone number 5155763338 and fax number 5155764558. The mailing address for is 2700 1st Ave S Ste 400, Fort Dodge, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2700 1st Ave S Ste 400, Fort Dodge, Iowa |
| Phone Number | 5155763338 |
| Fax Number | 5155764558 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124079728 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2700 1st Ave S Ste 400 |
|---|---|
| City | Fort Dodge |
| State | Iowa (IA) |
| Post Code | 505014300 |
| Phone Number | 5155763338 |
| Fax Number | 5155764558 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 345 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DF0749 | IA | RAILROAD MEDICARE | |
| 298471 | IA | -- |
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