| |
1610 W Townline, Creston, IA 50801 | |
(641) 782-6367 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1610 W Townline, Creston, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194937391 | NPI | - | NPPES |
0429761 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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502 E Reed St, Red Oak, IA 51566 Ph: (712) 623-5178 | 1610 W Townline, Creston, IA 50801 Ph: (641) 782-6367 |
Dr. Eric M Larsen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1610 W Townline St, Creston, IA 50801 Phone: 641-782-3887 Fax: 641-782-6425 |