institution
Spencer Foot And Ankle Clinic Inc
Customized Equipment (DME) in Corydon, Iowa
NPI 1366649204

Spencer Foot And Ankle Clinic Inc is a Customized Equipment (DME) based in Osceola, IA and is specialized in Customized Equipment. Spencer Foot And Ankle Clinic Inc practices in Corydon, IA. The NPI Number for Spencer Foot And Ankle Clinic Inc is 1366649204 and holds a License No. 00413 (Iowa).

The current practice location address for Spencer Foot And Ankle Clinic Inc is 417 S East St, Corydon, IA and can be reached out via phone at 641-872-2462 and via fax at 641-342-2292.

Location: 417 S East St, Corydon, IA, 50213-1457
institution
Provider Profile Details
NPI Number
1366649204
Provider Name
Spencer Foot And Ankle Clinic Inc
Credential
Provider Entity Type
Organization
Address
417 S East St, Corydon, IA, 50213-1457
Phone Number
641-872-2462
Fax Number
641-342-2292
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
55877 01 IA WELLMARK BLUE CROSS BLUE
4214171 05 IA
institution
Provider Business Practice Location Address Details
Address
417 S East St
City
State
Zip
50060-1860
Phone Number
641-872-2462
Fax Number
641-342-2292
person
Provider Business Mailing Address Details
Address
417 S East St
City
State
Zip
50060-1860
Phone Number
641-872-2462
Fax Number
641-342-2292
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
00413 (Iowa)
Definition
Definition to come...
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