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Organization
FAMILY FOOT CARE CLINIC, PC
Active
Organization
FAMILY FOOT CARE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN S TANNER DPM (OWNER/PRESIDENT)
(319) 362-1947
Entity
Organization
Contact information
Practice address
3200 F AVENUE NW, CEDAR RAPIDS, IA 52405
(319) 362-1947
(319) 297-7405
Mailing address
3200 F AVENUE NW, CEDAR RAPIDS, IA 52405
(319) 362-1947
(319) 297-7405
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
12/04/2022
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