# CHARLES ALLISON DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306379714
- **Authorized official:** CHARLES ALLISON (DPM/OWNER)
- **Authorized official phone:** (563) 219-8903

## Contact information

- **Practice address:** 216 5TH AVE S, CLINTON, IA 52732-4309
- **Practice address phone:** (563) 219-8903
- **Practice address fax:** (563) 219-8905
- **Mailing address:** 216 5TH AVE S, CLINTON, IA 52732-4309
- **Mailing address phone:** (563) 219-8903
- **Mailing address fax:** (563) 219-8905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2017
- **Last updated:** 04/04/2017