| |
302 S Park Ave, New Sharon, IA 50207-9771 | |
(641) 236-2008 | |
(641) 236-2031 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 302 S Park Ave, New Sharon, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902077605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 00737 (Iowa) | Primary |
Mailing Address | Practice Location Address |
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1836 Lackland Hill Pkwy, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | 302 S Park Ave, New Sharon, IA 50207-9771 Ph: (641) 236-2008 |