institution
Northeast Iowa Podiatry Pc
Foot & Ankle Surgery Podiatrist in Waterloo, Iowa
NPI 1356387799

Northeast Iowa Podiatry Pc is a Foot & Ankle Surgery Podiatrist based in Waterloo, IA and is specialized in Foot & Ankle Surgery. Northeast Iowa Podiatry Pc practices in Waterloo, IA. The NPI Number for Northeast Iowa Podiatry Pc is 1356387799 and holds a License No. 00677 (Iowa).

The current practice location address for Northeast Iowa Podiatry Pc is 44 Brookeridge Dr, Waterloo, IA and can be reached out via phone at 319-234-2644 and via fax at 319-234-4938.

Location: 44 Brookeridge Dr, Waterloo, IA, 50701-5214
institution
Provider Profile Details
NPI Number
1356387799
Provider Name
Northeast Iowa Podiatry Pc
Credential
Provider Entity Type
Organization
Address
44 Brookeridge Dr, Waterloo, IA, 50701-5214
Phone Number
319-234-2644
Fax Number
319-234-4938
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0208611 05 IA
1356387799 01 IA UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
44 Brookeridge Dr
City
State
Zip
50701-5214
Phone Number
319-234-2644
Fax Number
319-234-4938
person
Provider Business Mailing Address Details
Address
44 Brookeridge Dr
City
State
Zip
50701-5214
Phone Number
319-234-2644
Fax Number
319-234-4938
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
00677 (Iowa)
Definition
Definition to come...
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