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Organization
SWFAC PLC
Active
Organization
SWFAC PLC
Active
Other names
Southwest Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW C STANISLAV DPM (OWNER)
(712) 623-5178
Entity
Organization
Contact information
Practice address
631 N. 8TH ST., MISSOURI VALLEY, IA 51555
(800) 334-5516
(712) 623-2703
Mailing address
502 E REED ST., RED OAK, IA 51566
(712) 623-5178
(712) 623-2703
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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