Organization
SPENCER FOOT AND ANKLE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B SPENCER DPM (PRESIDENT)
(641) 342-6054
Entity
Organization
Contact information
Practice address
110 E MCLANE ST, OSCEOLA, IA 50213-1457
(641) 342-6054
(641) 342-2292
Mailing address
110 E MCLANE ST, OSCEOLA, IA 50213-1457
(641) 342-6054
(641) 342-2292
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
00413
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4214171
—
IA
Enumeration date
07/20/2007
Last updated
07/20/2007
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