Organization
CENTRAL IOWA PODIATRY INC
Active
Other names
Pella Foot & Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN MCMURRAY (PRESIDENT)
(641) 752-3338
Entity
Organization
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3542
Mailing address
908 WASHINGTON ST, PELLA, IA 50219-1504
(641) 628-3542
(641) 628-8638
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00607
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003073206
WELLMARK BC/BS
IA
05
—
1003073206
—
IA
01
—
421440625-04
UNITED HEALTHCARE
IA
01
—
480026192
RR MEDICARE
IA
Enumeration date
05/16/2008
Last updated
10/19/2021
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