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Organization
ROSE FOOT CLINIC PC
Active
Organization
ROSE FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ROSE D.P.M. (PRESIDENT)
(641) 472-9371
Entity
Organization
Contact information
Practice address
202 E BRIGGS AVE, FAIRFIELD, IA 52556-2925
(647) 472-9371
(641) 472-9589
Mailing address
PO BOX 1687, FAIRFIELD, IA 52556-0029
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00688
IA
Other
Enumeration date
05/23/2008
Last updated
10/02/2008
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