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Organization
FOOT AND ANKLE CLINIC, PC
Active
Organization
FOOT AND ANKLE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAM VAY UNG DPM (PRESIDENT/OWNER)
(712) 255-0502
Entity
Organization
Contact information
Practice address
1502 PIERCE ST, SIOUX CITY, IA 51105-1246
(712) 255-0502
(712) 258-9977
Mailing address
1502 PIERCE ST, SIOUX CITY, IA 51105-1246
(712) 255-0502
(712) 258-9977
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00505
IA
Other
Enumeration date
08/25/2006
Last updated
01/29/2015
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